リンパ節圧迫による非医原性副神経麻痺
Ines Oliveira Pires1, Bernardo Cavadas2, Gerardo Millan3
1Plastic and Reconstructive Surgery, ULS São José, Lisbon, Lisbon, Portugal ipires@campus.ul.pt.
BMJ case reports
|January 7, 2026
まとめ
副神経(SAN)麻痺は、神経を圧迫するリンパ節の腫大によって発生する可能性があります。この症例は、若年者のSAN麻痺のまれな非外傷性の原因を強調しており、外科的治療が成功しました。
科学分野:
- 神経学
- 手術解剖学
背景:
- 副神経(SAN)損傷は、通常、医原性または外傷性である。
- リンパ節圧迫によるSAN麻痺はまれであり、悪性腫瘍または手術に関連することが多い。
研究 の 目的:
- 若年者におけるリンパ節圧迫によるSAN麻痺のまれな症例を報告する。
- SAN麻痺の非医原性、非外傷性の原因を強調する。
主な方法:
- 自発的な肩の非対称性を呈した若年者の症例報告。
- SAN圧迫を引き起こす腫大リンパ節を明らかにするための外科的探査。
- 副神経の神経剥離術。
主要な成果:
- 患者は、外傷や手術の既往がないにもかかわらず、SAN麻痺の臨床徴候を呈した。
- 腫大したリンパ節がSANを圧迫していることが判明した。
- 神経剥離術により、臨床症状が著しく改善した。
結論:
- 腫大リンパ節は、SAN麻痺のまれな原因である。
- 本症例は、非医原性SAN損傷の理解を広げるものである。
- 迅速な診断と外科的介入により、良好な転帰が得られる可能性がある。
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