Spasmodic torticollis due to neurovascular compression of the 11th nerve

1985 ◽  
Vol 63 (5) ◽  
pp. 789-791 ◽  
Author(s):  
Carlo A. Pagni ◽  
Michele Naddeo ◽  
Giuliano Faccani
Keyword(s):  
Unusual Case ◽  
Spasmodic Torticollis ◽  
Spinal Accessory Nerve ◽  
Accessory Nerve ◽  
Neurovascular Compression ◽  
Content Type ◽  
Spinal Accessory ◽  
Cerebellar Artery ◽  
Fine Print

✓ An unusual case of spasmodic torticollis caused by posteroinferior cerebellar artery compression of the spinal accessory nerve is reported. The spasmodic torticollis was cured by abolishing the neurovascular compression.

Spasmodic Torticollis Due to Neurovascular Compression of the Spinal Accessory Nerve by the Anteroinferior Cerebellar Artery: Case Report

Neurosurgery ◽  
2000 ◽  
Vol 47 (3) ◽  
pp. 768-772 ◽  
Author(s):  
Concetta Alafaci ◽  
Francesco M. Salpietro ◽  
Gaspare Montemagno ◽  
Giovanni Grasso ◽  
Francesco Tomasello
Keyword(s):  
Case Report ◽  
Spasmodic Torticollis ◽  
Spinal Accessory Nerve ◽  
Accessory Nerve ◽  
Neurovascular Compression ◽  
Spinal Accessory ◽  
Cerebellar Artery

Superficial landmarks for the spinal accessory nerve within the posterior cervical triangle

2005 ◽  
Vol 3 (5) ◽  
pp. 375-378 ◽  
Author(s):  
R. Shane Tubbs ◽  
E. George Salter ◽  
John C. Wellons ◽  
Jeffrey P. Blount ◽  
W. Jerry Oakes
Keyword(s):  
The Body ◽  
Spinal Accessory Nerve ◽  
Accessory Nerve ◽  
Mastoid Process ◽  
Exit Point ◽  
Content Type ◽  
Spinal Accessory ◽  
Mean Width ◽  
The Mean ◽  
Fine Print

Object. The spinal accessory nerve (SAN) within the posterior cervical triangle (PCT) is the most commonly iatrogenically injured nerve in the body. Nevertheless, there is a paucity of published information regarding superficial landmarks for the SAN in this region. Additional identifiable landmarks of this nerve may assist the surgeon in identifying it for repair, use of it in peripheral nerve neurotization, or avoiding it as in proximal brachial plexus repair. The present study was undertaken to provide reliable superficial landmarks for the identification of the SAN within the PCT. Methods. The PCT was dissected in 30 cadaveric sides. Measurements were made between the SAN and surrounding landmarks. The mean distances between the entry site of the SAN into the trapezius and a midpoint of the clavicle, mastoid process, acromion process, and lateral aspect of the sternocleidomastoid (SCM) muscle were 6, 7, 5.5, and 3.5 cm, respectively. The mean distances between the angle of the mandible and the mastoid process and the exit point of the SAN from the posterior border of the SCM muscle were 6 and 5 cm, respectively. The mean width and length of the SAN were 3 and 3.5 cm, respectively. Conclusions. It is the authors' hope that these data will aid those who may need to locate or avoid the SAN while undertaking surgery in the PCT and thus decrease morbidity that may follow manipulation of this region.

Stretch palsy of the spinal accessory nerve

1990 ◽  
Vol 72 (3) ◽  
pp. 500-502 ◽  
Author(s):  
A. Lee Dellon ◽  
James N. Campbell ◽  
David Cornblath
Keyword(s):  
Spinal Accessory Nerve ◽  
Accessory Nerve ◽  
Blunt Injury ◽  
Nerve Grafting ◽  
Content Type ◽  
Spinal Accessory ◽  
Fine Print

✓ Although sharp and blunt injury to the spinal accessory nerve has been well-documented, stretch or traction-type injury has not been reported previously. Such a case, treated successfully with nerve grafting, is described.

Long-term results of spinal accessory nerve-facial nerve anastomosis

1992 ◽  
Vol 77 (1) ◽  
pp. 51-54 ◽  
Author(s):  
Michael J. Ebersold ◽  
Lynn M. Quast
Keyword(s):  
Facial Nerve ◽  
Functional Disability ◽  
Spinal Accessory Nerve ◽  
Accessory Nerve ◽  
Long Term Results ◽  
Content Type ◽  
Spinal Accessory ◽  
Nerve Anastomosis ◽  
Facial Function ◽  
Fine Print

✓ A number of methods have been developed to reduce the cosmetic and functional disability resulting from facial nerve loss. It has often been suggested that the major trunk of the spinal accessory nerve should not be sacrificed for providing dynamic facial function because of shoulder disability and pain. A review of Mayo Clinic records has revealed that, between the years of 1975 and 1983, 25 patients underwent spinal accessory nerve-facial nerve anastomosis using the major division (branch to the trapezius muscle) of the spinal accessory nerve. There were 11 males and 14 females, ranging in age from 16 to 60 years (mean 41 years). The interval between facial nerve loss and anastomosis was 1 week to 34 months (mean 4.62 months). The duration of follow-up study ranged from 7 to 15 years (mean 10.8 years). Twenty patients had no complaints or symptoms related to their shoulder or arm at the time of this review and no patient had significant shoulder morbidity. The facial function achieved was “minimal” in five cases, “moderate” in six, and good to excellent in 14. Most patients appeared to benefit significantly from the spinal accessory nerve-facial nerve anastomosis. The morbidity of the procedure seemed quite minimal even in the young and active. The authors continue to believe that the spinal accessory nerve-facial nerve anastomosis, even when using the major trunk of the spinal accessory nerve, is a very useful and beneficial procedure.

Spasmodic Torticollis Due to Neurovascular Compression of the Spinal Accessory Nerve by the Anteroinferior Cerebellar Artery: Case Report

Neurosurgery ◽  
2000 ◽  
Vol 47 (3) ◽  
pp. 768-772 ◽  
Author(s):  
Concetta Alafaci ◽  
Francesco M. Salpietro ◽  
Gaspare Montemagno ◽  
Giovanni Grasso ◽  
Francesco Tomasello
Keyword(s):  
Cranial Nerve ◽  
Neuromuscular Disorder ◽  
Spasmodic Torticollis ◽  
Accessory Nerve ◽  
Decompression Surgery ◽  
Neurovascular Compression ◽  
Cerebellar Artery ◽  
History Of ◽  
Microvascular Decompression Surgery ◽  
The Right

ABSTRACT OBJECTIVE AND IMPORTANCE Spasmodic torticollis is a neuromuscular disorder characterized by uncontrollable clonic and intermittently tonic spasm of the neck muscles. We report a case of spasmodic torticollis attributable to neurovascular compression of the right XIth cranial nerve by the right anteroinferior cerebellar artery (AICA). CLINICAL PRESENTATION A 72-year-old man with a 2-year history of right spasmodic torticollis underwent magnetic resonance imaging, which demonstrated compression of the right XIth cranial nerve by an abnormal descending loop of the right AICA. INTERVENTION The patient underwent microvascular decompression surgery. During surgery, it was confirmed that an abnormal loop of the right AICA was compressing the right accessory nerve. Compression was released by the interposition of muscle between the artery and the nerve. CONCLUSION The patient's postoperative course was uneventful, and his symptoms were fully relieved at the 2-year follow-up examination. This is the first reported case of spasmodic torticollis attributable to compression by the AICA; usually, the blood vessels involved are the vertebral artery and the posteroinferior cerebellar artery.

Bilateral microsurgical lysis of the spinal accessory nerve roots for treatment of spasmodic torticollis

1986 ◽  
Vol 83 (1-2) ◽  
pp. 47-53 ◽  
Author(s):  
N. Freckmann ◽  
R. Hagenah ◽  
H. -D. Herrmann ◽  
D. M�ller
Keyword(s):  
Spasmodic Torticollis ◽  
Spinal Accessory Nerve ◽  
Accessory Nerve ◽  
Nerve Roots ◽  
Spinal Accessory

Anastomotic connections between the eleventh nerve and the posterior root of the first cervical nerve in humans

1973 ◽  
Vol 38 (2) ◽  
pp. 189-197 ◽  
Author(s):  
G. Ouaknine ◽  
H. Nathan
Keyword(s):  
Spinal Cord ◽  
Cranial Nerve ◽  
Spinal Accessory Nerve ◽  
Posterior Root ◽  
Cervical Nerve ◽  
Content Type ◽  
Spinal Accessory ◽  
Points Of View ◽  
Sensory Fibers ◽  
Fine Print

✓ A study of connections between C-1, C-2, and the spinal accessory nerve is reported. Four variations are described from anatomical and clinical points of view. Often the only pathway for the sensory fibers of C-1 to reach the spinal cord is through the rootlets of the eleventh cranial nerve.

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