Rehabilitation Practice and Science
Translated Title
超音波於脊椎副神經損傷之臨床應用：個案報告
Abstract
The anatomical structure of the neck area is exceedingly complex; thus, cervical nerve damage during surgical procedures is not uncommon. A 25-year-old woman underwent excisional biopsy for neck lymphadenopathy. The patient reported left upper back pain and left shoulder weakness 1 day after the surgery. Physical examination revealed weakness of the left upper trapezius muscle and winging of the left scapula. A nerve conduction study indicated decreased compound muscle action potential amplitude on stimulation of the left spinal accessory nerve (SAN); electromyography also revealed denervation changes with the presence of voluntary motor unit action potentials in the left upper trapezius muscle. The findings indicated an incomplete SAN injury. A musculoskeletal (MSK) ultrasound found adhesion between the SAN and the surrounding scar tissue. In addition to conventional physiotherapy, the authors performed ultrasound-guided hydrodissection of the left SAN with 5% glucose. Subsequently, the patient exhibited considerable improvement. In this casereport, the authors demonstrate the use of MSK ultrasound for the diagnosis and treatment of peripheral nerve entrapment in the cervical region after an iatrogenic event.
Language
English
DOI Link
https://doi.org/10.6315/TJPMR.202212_50(2).0008
First Page
153
Last Page
158
Recommended Citation
Hsieh, Tien-Lee; Wu, Wei-Ting; Wang, Chun-Ping; Chien, Liang-Chun; and Hsieh, Lin-Fen
(2022)
"Application of Ultrasonography in the Diagnosis and Treatment (5% Dextrose Hydrodissection) for Entrapment of Spinal Accessory Nerve: A casereport,"
Rehabilitation Practice and Science: Vol. 50:
Iss.
2, Article 8.
DOI: https://doi.org/10.6315/TJPMR.202212_50(2).0008
Available at:
https://rps.researchcommons.org/journal/vol50/iss2/8
