Idiopathic spinal accessory nerve injury

Detalhes bibliográficos
Autor(a) principal: Pereira,Pedro Cubelo
Data de Publicação: 2020
Outros Autores: Aguiar,Benedita Bianchi de, Vaz,Inês Machado, Dantas,Duarte
Tipo de documento: Relatório
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-07542020000300008
Resumo: Palsy of the eleventh cranial nerve - or spinal accessory nerve (SAN) − is a rare cause of scapular winging, leading to painful upper extremity disability due to weakness and atrophy of the trapezius muscle. Most SAN injuries are iatrogenic, and no specific pediatric epidemiology is known. Herein is described the case of a 17-year-old adolescent referred to Physical and Rehabilitation Medicine consultation due to insidious right shoulder pain with two years of evolution. Shoulder pain combined with muscular atrophy is suggestive of nerve lesion. Electromyography is the gold standard exam and showed segmental demyelination and axonotmesis in this case. After evaluation, the patient underwent physiotherapy, with excellent results. In conclusion, SAN injury treatment can be conservative or surgical and physiotherapy is the basis of early treatment in most cases. Recovery can occur even after a significant period of time.
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spelling Idiopathic spinal accessory nerve injurymuscular atrophynerve injurypainphysiotherapyshoulder painspinal accessory nervePalsy of the eleventh cranial nerve - or spinal accessory nerve (SAN) − is a rare cause of scapular winging, leading to painful upper extremity disability due to weakness and atrophy of the trapezius muscle. Most SAN injuries are iatrogenic, and no specific pediatric epidemiology is known. Herein is described the case of a 17-year-old adolescent referred to Physical and Rehabilitation Medicine consultation due to insidious right shoulder pain with two years of evolution. Shoulder pain combined with muscular atrophy is suggestive of nerve lesion. Electromyography is the gold standard exam and showed segmental demyelination and axonotmesis in this case. After evaluation, the patient underwent physiotherapy, with excellent results. In conclusion, SAN injury treatment can be conservative or surgical and physiotherapy is the basis of early treatment in most cases. Recovery can occur even after a significant period of time.Centro Hospitalar do Porto2020-09-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/reporttext/htmlhttp://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-07542020000300008Nascer e Crescer v.29 n.3 2020reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttp://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-07542020000300008Pereira,Pedro CubeloAguiar,Benedita Bianchi deVaz,Inês MachadoDantas,Duarteinfo:eu-repo/semantics/openAccess2024-02-06T17:06:27Zoai:scielo:S0872-07542020000300008Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T02:19:48.504706Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Idiopathic spinal accessory nerve injury
title Idiopathic spinal accessory nerve injury
spellingShingle Idiopathic spinal accessory nerve injury
Pereira,Pedro Cubelo
muscular atrophy
nerve injury
pain
physiotherapy
shoulder pain
spinal accessory nerve
title_short Idiopathic spinal accessory nerve injury
title_full Idiopathic spinal accessory nerve injury
title_fullStr Idiopathic spinal accessory nerve injury
title_full_unstemmed Idiopathic spinal accessory nerve injury
title_sort Idiopathic spinal accessory nerve injury
author Pereira,Pedro Cubelo
author_facet Pereira,Pedro Cubelo
Aguiar,Benedita Bianchi de
Vaz,Inês Machado
Dantas,Duarte
author_role author
author2 Aguiar,Benedita Bianchi de
Vaz,Inês Machado
Dantas,Duarte
author2_role author
author
author
dc.contributor.author.fl_str_mv Pereira,Pedro Cubelo
Aguiar,Benedita Bianchi de
Vaz,Inês Machado
Dantas,Duarte
dc.subject.por.fl_str_mv muscular atrophy
nerve injury
pain
physiotherapy
shoulder pain
spinal accessory nerve
topic muscular atrophy
nerve injury
pain
physiotherapy
shoulder pain
spinal accessory nerve
description Palsy of the eleventh cranial nerve - or spinal accessory nerve (SAN) − is a rare cause of scapular winging, leading to painful upper extremity disability due to weakness and atrophy of the trapezius muscle. Most SAN injuries are iatrogenic, and no specific pediatric epidemiology is known. Herein is described the case of a 17-year-old adolescent referred to Physical and Rehabilitation Medicine consultation due to insidious right shoulder pain with two years of evolution. Shoulder pain combined with muscular atrophy is suggestive of nerve lesion. Electromyography is the gold standard exam and showed segmental demyelination and axonotmesis in this case. After evaluation, the patient underwent physiotherapy, with excellent results. In conclusion, SAN injury treatment can be conservative or surgical and physiotherapy is the basis of early treatment in most cases. Recovery can occur even after a significant period of time.
publishDate 2020
dc.date.none.fl_str_mv 2020-09-01
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/report
format report
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-07542020000300008
url http://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-07542020000300008
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv http://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-07542020000300008
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Centro Hospitalar do Porto
publisher.none.fl_str_mv Centro Hospitalar do Porto
dc.source.none.fl_str_mv Nascer e Crescer v.29 n.3 2020
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
repository.mail.fl_str_mv
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