Spinal accessory nerve palsy as a cause of pain after whiplash injury: Case report Journal Article


Authors: Bodack, M. P.; Tunkel, R. S.; Marini, S. G.; Nagler, W.
Article Title: Spinal accessory nerve palsy as a cause of pain after whiplash injury: Case report
Abstract: Spinal accessory nerve injury is most commonly reported following surgery in and around the posterior cervical triangle. Pain, impaired ability to raise the ipsilateral shoulder, and scapular winging on abduction of the arm are the most frequently noted clinical manifestations. We report the case of a collegiate swimmer who developed left-sided neck and shoulder pain secondary to a spinal accessory, nerve palsy (SANP) after a 'whiplash injury,' which we believe to be the first such reported case in the English language literature. We review the clinical manifestations, diagnostic pitfalls, and therapeutic approaches to SANP. A high index of suspicion for SANP following whiplash-type injury will ensure its earlier detection and treatment and improve the chances of a better functional outcome.
Keywords: adult; clinical feature; pain; pathological anatomy; nerve injury; paralysis; neck pain; spinal accessory nerve; accessory nerve; cranial nerve diseases; humans; human; female; article; nerve palsy; stretch injury; whiplash; whiplash injury; whiplash injuries
Journal Title: Journal of Pain and Symptom Management
Volume: 15
Issue: 5
ISSN: 0885-3924
Publisher: Elsevier Inc.  
Date Published: 1998-05-01
Start Page: 321
End Page: 328
Language: English
DOI: 10.1016/s0885-3924(98)00008-6
PUBMED: 9654838
PROVIDER: scopus
DOI/URL:
Notes: Article -- Export Date: 12 December 2016 -- Source: Scopus
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  1. Richard Tunkel
    15 Tunkel