Spinal accessory neuropathy: management

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

Spinal accessory neuropathy: management. Denervation of the trapezius muscle, Positive sharp waves. Fully referenced neurology checklist.

Electromyogram (EMG)

  • Denervation of the trapezius muscle
  • Positive sharp waves
  • Reduced polyphasic recruitment pattern

Nerve conduction studies (NCS)

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Conservative treatments

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Physical therapy: aims

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Surgical treatments

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References

  1. Sergides NN, Nikolopoulos DD, Polyzois IG. Idiopathic spinal accessory nerve palsy. A case report. Orthop Traumatol Surg Res 2010; 96:589-592.
  2. Ozdemir O, Kurne A, Temuçin C, Varli K. Spontaneous unilateral accessory nerve palsy: a case report and review of the literature. Clin Rheumatol 2007; 26:1581-1583.

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