Jun Shen1, Weimin Chen2, Xuan Ye1, Yanqun Qiu1, Jing Xu1, Yi Zhu1, Yundong Shen1, Wendong Xu1,3,4,5. 1. Department of Hand Surgery, Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai, China. 2. Department of Ultrasound, Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai, China. 3. National Clinical Research Center for Aging and Medicine, Huashan Hospital, Fudan University, Shanghai, China. 4. Department of Hand and Upper Extremity Surgery, Jing'an District Central Hospital, Shanghai, China. 5. State Key Laboratory of Medical Neurobiology, Collaborative Innovation Center of Brain Science, Fudan University, Shanghai, China.
Abstract
INTRODUCTION: The purpose of this study was to evaluate the application of ultrasound in the management of iatrogenic spinal accessory nerve palsy at the posterior cervical triangle area. METHODS: In this retrospective study, we compared ultrasonographic results with intraoperative findings in patients with iatrogenic spinal accessory nerve palsy during the time period from 2014 to 2018 at our hospital. RESULTS: Eleven patients were included. Ultrasound detected nerve transections in 9 patients and continuities in 2 patients. The ultrasonographic results were consistent with the intraoperative findings. Furthermore, ultrasound was able to accurately reveal lesion location in 8 of 9 patients with nerve transections. DISCUSSION: Ultrasound provides direct images about nerve lesions contributing to the diagnosis of iatrogenic spinal accessory nerve palsy at the posterior cervical triangle area and also reveals lesion location, assisting in formulating suitable surgical plans preoperatively. We recommend that ultrasound be integrated into the preoperative evaluation. Muscle Nerve 59:64-69, 2019.
INTRODUCTION: The purpose of this study was to evaluate the application of ultrasound in the management of iatrogenic spinal accessory nerve palsy at the posterior cervical triangle area. METHODS: In this retrospective study, we compared ultrasonographic results with intraoperative findings in patients with iatrogenic spinal accessory nerve palsy during the time period from 2014 to 2018 at our hospital. RESULTS: Eleven patients were included. Ultrasound detected nerve transections in 9 patients and continuities in 2 patients. The ultrasonographic results were consistent with the intraoperative findings. Furthermore, ultrasound was able to accurately reveal lesion location in 8 of 9 patients with nerve transections. DISCUSSION: Ultrasound provides direct images about nerve lesions contributing to the diagnosis of iatrogenic spinal accessory nerve palsy at the posterior cervical triangle area and also reveals lesion location, assisting in formulating suitable surgical plans preoperatively. We recommend that ultrasound be integrated into the preoperative evaluation. Muscle Nerve 59:64-69, 2019.
Authors: Emily Casaletto; Bin Lin; Scott W Wolfe; Steve K Lee; Darryl B Sneag; Joseph H Feinberg; O Kenechi Nwawka Journal: Neurol Clin Pract Date: 2020-10