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Related Experiment Videos

Accessory nerve palsy following thoracotomy.

S Morrell1, J R Roberson, M D Rooks

  • 1Department of Orthopaedics, Emory University School of Medicine, Atlanta, Georgia.

Clinical Orthopaedics and Related Research
|January 1, 1989
PubMed
Summary

A previously unreported cause of 11th cranial nerve palsy was identified in a patient following median sternotomy. This resulted in trapezius muscle dysfunction and shoulder girdle instability.

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Area of Science:

  • Neurology
  • Surgical Complications

Background:

  • 11th cranial nerve palsy is a rare condition.
  • Median sternotomy is a common surgical procedure.

Observation:

  • A 53-year-old man developed 11th cranial nerve palsy after median sternotomy.
  • Electromyography confirmed dysfunction of the trapezius branch of the spinal accessory nerve.

Findings:

  • The patient experienced trapezius muscle dysfunction, leading to shoulder girdle instability and pain.
  • Potential causes include sternal retraction or injury during internal jugular vein cannulation.

Implications:

  • Highlights a novel complication of median sternotomy.
  • Suggests careful surgical technique to prevent spinal accessory nerve injury.

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  • Emphasizes the importance of electromyography in diagnosing nerve dysfunction.