Ultrasound in the management of iatrogenic spinal accessory nerve palsy at the posterior cervical triangle area.
Accessory Nerve Injuries
/ diagnostic imaging
Adult
Aged
Cervical Cord
/ diagnostic imaging
Electromyography
Evoked Potentials, Motor
/ physiology
Female
Humans
Iatrogenic Disease
Male
Middle Aged
Neural Conduction
/ physiology
Neurosurgical Procedures
/ methods
Retrospective Studies
Ultrasonography
Young Adult
iatrogenic spinal accessory nerve palsy
intraoperative findings
low-amplitude compound muscle action potential
motor unit potential
nerve transection
ultrasound
Journal
Muscle & nerve
ISSN: 1097-4598
Titre abrégé: Muscle Nerve
Pays: United States
ID NLM: 7803146
Informations de publication
Date de publication:
01 2019
01 2019
Historique:
received:
27
03
2018
revised:
05
09
2018
accepted:
07
09
2018
pubmed:
15
9
2018
medline:
29
5
2019
entrez:
15
9
2018
Statut:
ppublish
Résumé
The purpose of this study was to evaluate the application of ultrasound in the management of iatrogenic spinal accessory nerve palsy at the posterior cervical triangle area. In this retrospective study, we compared ultrasonographic results with intraoperative findings in patients with iatrogenic spinal accessory nerve palsy during the time period from 2014 to 2018 at our hospital. Eleven patients were included. Ultrasound detected nerve transections in 9 patients and continuities in 2 patients. The ultrasonographic results were consistent with the intraoperative findings. Furthermore, ultrasound was able to accurately reveal lesion location in 8 of 9 patients with nerve transections. Ultrasound provides direct images about nerve lesions contributing to the diagnosis of iatrogenic spinal accessory nerve palsy at the posterior cervical triangle area and also reveals lesion location, assisting in formulating suitable surgical plans preoperatively. We recommend that ultrasound be integrated into the preoperative evaluation. Muscle Nerve 59:64-69, 2019.
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
64-69Subventions
Organisme : National Key R&D Program of China
ID : 2017YFC0840100
Pays : International
Organisme : National Key R&D Program of China
ID : 2017YFC0840106
Pays : International
Informations de copyright
© 2018 Wiley Periodicals, Inc.