Resolution of Iatrogenic Spinal Accessory Neuropathy Following Delayed Surgical Intervention.

IF 2.2 3区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Laryngoscope Pub Date : 2025-01-27 DOI:10.1002/lary.32012
Yihuai Qu, Payam Entezami, Taylor B Cave, Laura E Klusovsky, Brent A Chang
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Abstract

We present an interesting case of a 74-year-old female who presented with spinal accessory neuropathy following an ipsilateral right-sided carotid endarterectomy 6 months after the initial injury. Subsequent surgical exploration revealed a surgical clip that had been placed directly across the spinal accessory nerve. Clip removal and neurolysis was subsequently performed, leaving the nerve intact. After surgical intervention, she immediately demonstrated increased bilateral shoulder shrug motion and continues to improve her function with physical therapy. This case demonstrates a fascinating case of cranial nerve recovery after delayed intervention in the context of existing literature. Laryngoscope, 2025.

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我们介绍了一例有趣的病例:一名 74 岁的女性在初次受伤 6 个月后接受同侧右侧颈动脉内膜切除术,随后出现脊髓附属神经病变。随后的手术探查发现,一个手术夹直接穿过脊髓附属神经。随后进行了夹子移除和神经切除术,使神经完好无损。手术治疗后,她的双肩耸动功能立即得到增强,并通过物理治疗继续改善其功能。根据现有文献,本病例展示了延迟干预后颅神经恢复的精彩案例。喉镜》,2025 年。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Laryngoscope
Laryngoscope 医学-耳鼻喉科学
CiteScore
6.50
自引率
7.70%
发文量
500
审稿时长
2-4 weeks
期刊介绍: The Laryngoscope has been the leading source of information on advances in the diagnosis and treatment of head and neck disorders since 1890. The Laryngoscope is the first choice among otolaryngologists for publication of their important findings and techniques. Each monthly issue of The Laryngoscope features peer-reviewed medical, clinical, and research contributions in general otolaryngology, allergy/rhinology, otology/neurotology, laryngology/bronchoesophagology, head and neck surgery, sleep medicine, pediatric otolaryngology, facial plastics and reconstructive surgery, oncology, and communicative disorders. Contributions include papers and posters presented at the Annual and Section Meetings of the Triological Society, as well as independent papers, "How I Do It", "Triological Best Practice" articles, and contemporary reviews. Theses authored by the Triological Society’s new Fellows as well as papers presented at meetings of the American Laryngological Association are published in The Laryngoscope. • Broncho-esophagology • Communicative disorders • Head and neck surgery • Plastic and reconstructive facial surgery • Oncology • Speech and hearing defects
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