Accessory nerve palsy: anatomy

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Accessory nerve palsy: anatomy. This arises from upper spinal cord. It enters the skull through the foramen magnum. Fully referenced neurology checklist.

Anatomy: spinal part

  • This arises from upper spinal cord
  • It enters the skull through the foramen magnum
  • It innervates the sternocleidomastoid and trapezius

Anatomy: cranial part

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Vascular causes

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Surgical causes

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Neoplastic causes

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Traumatic causes

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Other causes

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Synonyms

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References

  1. Finsterer J, Grisold W. Disorders of the lower cranial nerves. J Neurosci Rural Pract 2015; 6:377-391. 
  2. Sawada H, Udaka F, Kameyama M, Iwasaki K, Kondou A. Accessory nerve neuroma presenting as recurrent jugular foramen syndrome. Neuroradiology 1992; 34:417-419.
  3. Rosenbloom M, Friedman SG, Lamparello PJ, Riles TS, Imparato AM. Glossopharyngeal nerve injury complicating carotid endarterectomy. J Vasc Surg 1987; 5:469-471.
  4. Sweeney PJ, Wilbourn AJ. Spinal accessory (11th) nerve palsy following carotid endarterectomy. Neurology.1992; 42:674-675.
  5. Camp SJ, Birch R. Injuries to the spinal accessory nerve: a lesson to surgeons. J Bone Joint Surg Br 2011; 93:62-67.
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