Complete Spinal Accessory Nerve Palsy From Carrying Climbing Gear

Area of Science:

• Neurology
• Sports Medicine
• Occupational Health

Background:

• Spinal accessory nerve palsy is typically iatrogenic, often resulting from lymph node excision.
• Blunt trauma is a less common cause of spinal accessory nerve injury.

Observation:

• An unusual case of spinal accessory nerve palsy occurred in a climber due to prolonged compression from carrying climbing gear.
• The injury resulted from sustained pressure on the nerve from a nylon rope over the shoulder for 2.5 hours.

Findings:

• This case demonstrates that carrying heavy loads with improper equipment can lead to spinal accessory nerve compression.
• The posterior triangle of the neck is a vulnerable area for nerve compression during load-bearing activities.

Implications:

• Highlights the importance of using appropriate load-carrying equipment to distribute weight and prevent nerve compression.
• Relevant for mountaineers, rock climbers, and anyone carrying loads with a single shoulder strap to avoid potential nerve injuries.