Spinal accessory nerve palsy due to neurovascular compression. Report of a case diagnosed by magnetic resonance imaging and magnetic resonance angiography |
| |
Authors: | Pierpaolo Lunardi Luciano Mastronardi Jibril Osman Farah Claudio De Biase Guido Trasimeni Gian F. Gualdi |
| |
Affiliation: | (1) Department of Neurological Sciences, 2nd Chair of Neurosurgery, University La Sapienza, Rome, Italy;(2) C. T. and R. M. I. Service, University La Sapienza, Rome, Italy |
| |
Abstract: | The case of a young patient with left accessory nerve paralysis is reported. He had slight tilting of the head to the right side, developed over a period of about 6 months. On neurological examination hypotrophy of the left sternocleidomastoid and trapezius muscles was observed. MRI and MR-angiography imaged the presence of a neurovascular compression between the medulla oblungata, at the level of the nerve entry zone, and a vessel loop of an elongated left vertebral artery. In spite of the absence of a surgical demonstration it is our opinion that the neurovascular conflict is the cause of the accessory nerve palsy. |
| |
Keywords: | Angio-MRI nerve injury neurovascular compression spinal accessory nerve |
本文献已被 SpringerLink 等数据库收录! |