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There are several options of treatment when iatrogenic (i.e., caused by the surgeon) spinal accessory nerve damage is noted during surgery. For example, during a functional neck dissection that injures the spinal accessory nerve, injury prompts the surgeon to cautiously preserve branches of C2, C3, and C4 spinal nerves that provide supplemental innervation to the trapezius muscle. [3]
The spinal component of the accessory nerve provides motor control of the sternocleidomastoid and trapezius muscles. [8] The trapezius muscle controls the action of shrugging the shoulders, and the sternocleidomastoid the action of turning the head. [8] Like most muscles, control of the trapezius muscle arises from the opposite side of the ...
Injury to Erb's point is commonly sustained at birth or from a fall onto the shoulder.The nerve roots normally involved are C5 and partly C6. Symptoms include paralysis of the biceps, brachialis, and coracobrachialis (through the musculocutaneous nerve); the brachioradialis (through the radial nerve); and the deltoid (through the axillary nerve).
The sternocleidomastoid muscle originates from two locations: the manubrium of the sternum and the clavicle. [4] It travels obliquely across the side of the neck and inserts at the mastoid process of the temporal bone of the skull by a thin aponeurosis. [4] [5] The sternocleidomastoid is thick and narrow at its center, and broader and thinner ...
Treatment using botulinum toxin type B is comparable to type A, with an increased frequency of the side effect dry mouth. [ 10 ] [ 21 ] Common side effects include pain at the injection site (up to 28%), dysphagia due to the spread to adjacent muscles (11% to 40%), dry mouth (up to 33%), fatigue (up to 17%), and weakness of the injected or ...
It surrounds the neck like a collar, it splits around the sternocleidomastoid muscle and the trapezius muscle. It is attached as; Posteriorly - Ligamentum nuchae; Anteriorly - Attached to the hyoid bone; Superiorly - (from backwards to forwards); External occipital protuberance and superior nuchal line of occipital bone; Mastoid process of ...
Regular exercise is also useful in strengthening the upper back and neck muscles. Postural alignment, pain and discomfort will be reduced to improve our overall health and wellbeing. Prolonged pain or discomfort as a result of rounded shoulders should be reported to medical practitioners. [33]
sternocleidomastoid and trapezius muscles paresis (CN XI) Causes. Glomus tumors (most frequently) Meningiomas; Schwannomas (Acoustic neuroma)
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