The Anterior Cervical Triangle: An Unusual Site for Iatrogenic Accessory Nerve Palsy – A Case Report

Abstract

ABackground: Injury to the spinal accessory nerve [SAN] results in a debilitating shoulder dysfunction. Iatrogenic injury is common during radical neck dissection, cervical lymph node biopsy, and other surgical procedures; thus the superficial course of the nerve in posterior cervical triangle [PCT] makes it susceptible. The anterior cervical triangle [ACT] is an unusual location for iatrogenic SAN injury. Findings: We present a case that outlines the risk of SAN injury following a surgical operation in the ACT. Conclusions: Prevention of inadvertent injury to the SAN is also critical in the ACT, as well as in the PCT section.

Cognitive Dysfunction in the Fibromyalgia Syndrome

“…For example, a 61-year-old female developed complex regional pain syndrome type-II following sciatic nerve injury caused by intramuscular injection (13). A bilateral anterior tibial compartment syndrome in a 20-year-old military recruit was attributed to physical exertion (14). The management of pain originating from tardive dyskinesia in a 28-year-old female with cervical dystonia that developed when she was given metoclopramide and promethazine for treatment of chronic migraine headaches (15).…”