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Anatomical study of spinal accessory nerve using ultrasonography
Clarissa Canella1, Xavier Demondion, Evandro Abreu
1Service de Radiologie et d'Imagerie Musculosquelettique, Centre de Consultations et d'Imagerie de l'Appareil Locomoteur, CHRU, 59037 Lille, France.
European Journal of Radiology
|May 21, 2011
Summary
High-resolution ultrasonography precisely visualizes the spinal accessory nerve (SAN). This imaging technique offers a clear depiction of the SAN
Area of Science:
- Anatomy
- Radiology
- Neurology
Background:
- The spinal accessory nerve (SAN) is crucial for shoulder and neck movement.
- Accurate anatomical knowledge of the SAN is essential for surgical procedures and diagnosing nerve-related conditions.
- Traditional methods for assessing the SAN may lack precision.
Purpose of the Study:
- To evaluate the utility of ultrasonography in precisely assessing the course and anatomical relationships of the spinal accessory nerve (SAN).
Main Methods:
- A study involving 7 cadavers was conducted.
- High-resolution ultrasonography was performed on 30 nerves in 15 healthy volunteers.
- Two radiologists collaboratively analyzed the location, course, and adjacent structures of the SAN.
Main Results:
- High-resolution ultrasonography successfully identified the precise course of the SAN.
- The nerve was visualized between the sternocleidomastoid and trapezius muscles.
- Conventional clinical bone landmarks proved unhelpful for nerve identification.
Conclusions:
- Ultrasonography provides clear visualization of the spinal accessory nerve (SAN).
- Understanding the nerve's exact location, including individual variations, has significant clinical implications.
- This imaging modality can aid in diagnosis and treatment planning related to the SAN.
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