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Pesquisa : A08.800.800.120.060 [Categoria DeCS]
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[PMID]:28422886
[Au] Autor:Turkyilmaz A; Karapolat S; Seyis KN; Tekinbas C
[Ad] Endereço:Department of Thoracic Surgery, Karadeniz Technical University Medical School, Trabzon, Turkey.
[Ti] Título:Comparison of T2 and T3 sympathectomy for compensatory sweating on palmar hyperhidrosis.
[So] Source:Medicine (Baltimore);96(16):e6697, 2017 Apr.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: An otherwise successfully performed endoscopic thoracic sympathectomy (ETS) to treat palmar hyperhidrosis (PH) often has a serious side effect: compensatory sweating (CS). This side effect occurs in other parts of the body to a disturbing extent. The objective of this study is to determine whether there is a relationship between the level of ETS performed on patients with PH, and the occurrence and severity of postoperational CS. METHODS: Between January 2014 and January 2015, ETS procedures were performed on 25 randomly selected consecutive subjects (group A) at T2 level, and on another 25 subjects (group B) at T3 level, who all felt severely handicapped due to PH. All subjects were assessed in terms of their demographic characteristics including gender and age, as well as postoperative complications, short-term results, side effects, recurrence of symptoms, and long-term results. RESULTS: The symptoms disappeared in all subjects in short-term, and no recurrence was seen in their short or long-term follow-ups. At the end of year one, CS developed at a rate of 12% in group A and 8% in group B, particularly in their back and abdominal regions. The overall satisfaction with the procedure in year one was 96% in group A and 100% in group B. CONCLUSION: When an ETS performed at T2 or T3 level for PH involves only the interruption of the sympathetic chain, with a limitation on the range of dissection and avoidance of any damage to ganglia, sweating is stopped completely. No recurrence of PH is encountered, and CS develops only at low rates and severities.
[Mh] Termos MeSH primário: Nervo Acessório/cirurgia
Hiperidrose/cirurgia
Satisfação do Paciente
Simpatectomia/métodos
[Mh] Termos MeSH secundário: Adulto
Endoscopia/métodos
Feminino
Seres Humanos
Masculino
Complicações Pós-Operatórias/epidemiologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170509
[Lr] Data última revisão:
170509
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170420
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000006697


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[PMID]:28052417
[Au] Autor:Moissonnier P; Carozzo C; Thibaut JL; Escriou C; Hidalgo A; Blot S
[Ad] Endereço:Unités de Chirurgie, Ecole nationale vétérinaire d'Alfort, Université Paris-Est, Maisons-Alfort, France.
[Ti] Título:C8 cross transfer for the treatment of caudal brachial plexus avulsion in three dogs.
[So] Source:Vet Surg;46(1):136-144, 2017 Jan.
[Is] ISSN:1532-950X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To evaluate the cervical nerve 8 cross-transfer technique (C8CT) as a part of surgical treatment of caudal brachial plexus avulsion (BPA) in the dog. STUDY DESIGN: Case series. ANIMALS: Client-owned dogs suspected to have caudal BPA based on neurological examination and electrophysiological testing (n = 3). METHODS: The distal stump of the surgically transected contralateral C8 ventral branch (donor) was bridged to the proximal stump of the avulsed C8 ventral branch (recipient) and secured with 9-0 polypropylene suture under an operating microscope. A carpal panarthrodesis was performed on the injured limb after C8CT. RESULTS: Surgical exploration confirmed avulsion of nerve roots C7, C8, and T1 in all cases. There was no evidence of an iatrogenic effect on the donor forelimb. Gradual improvement in function of the affected forelimb occurred in all dogs, with eventual recovery of voluntary elbow extension. Reinnervation was evident in EMG recordings 6 months postoperatively in all three dogs. Stimulation of the donor C8 ventral branch led to motor evoked potentials in the avulsed side triceps brachialis and radial carpus extensor muscles. Variable functional outcome was observed in the 3 dogs during clinical evaluation 3-4 years after surgery. Digital abrasion wounds, distal interphalangeal infectious arthritis, and self-mutilation necessitated distal phalanx amputation of digits 3 and 4 in 2 dogs. CONCLUSION: C8CT provided partial reconnection of the donor C8 ventral branch to the avulsed brachial plexus in the 3 dogs of this series. Reinnervation resulted in active elbow extension and promoted functional recovery in the affected limb.
[Mh] Termos MeSH primário: Plexo Braquial/lesões
Cães/lesões
Músculo Esquelético/inervação
Transferência de Nervo/veterinária
[Mh] Termos MeSH secundário: Nervo Acessório/transplante
Animais
Neuropatias do Plexo Braquial/cirurgia
Neuropatias do Plexo Braquial/veterinária
Cães/cirurgia
Feminino
Transferência de Nervo/métodos
Recuperação de Função Fisiológica
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170105
[St] Status:MEDLINE
[do] DOI:10.1111/vsu.12590


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[PMID]:27744536
[Au] Autor:Raikos A; English T; Yousif OK; Sandhu M; Stirling A
[Ad] Endereço:Anatomical Sciences, Faculty of Health Sciences and Medicine, Bond University, Gold Coast, QLD, 4229, Australia. a.raikos@yahoo.com.
[Ti] Título:Topographic anatomy of the great auricular point: landmarks for its localization and classification.
[So] Source:Surg Radiol Anat;39(5):535-540, 2017 May.
[Is] ISSN:1279-8517
[Cp] País de publicação:Germany
[La] Idioma:eng
[Ab] Resumo:PURPOSE: The great auricular point (GAP) marks the exit of the great auricular nerve at the posterior border of the sternocleidomastoid muscle (SCM). It is a key landmark for the identification of the spinal accessory nerve, and its intraoperative localization is vital to avoid neurological sequelae. This study delineates the topography and surface anatomy landmarks that used to localize the GAP. METHODS: Thirty cadaveric heminecks were dissected on a layer-by-layer approach. The topography of the GAP was examined relative to the insertion point of the SCM at the clavicle, tip of the mastoid process, and angle of the mandible. The GAP and its relation to the SCM were determined as a ratio of the total length of the SCM. RESULTS: The GAP was demonstrated to be in a predictable location. The mean length of the SCM was 131.4 ± 22 mm, and the mean distance between the GAP and the mastoid process was found to be 60.4 ± 13.76 mm. The ratio of the GAP location to the total SCM length ranged between 0.33-0.57. The mean distance between the angle of the mandible and the GAP was determined to be 57 ± 22.2 mm. Based on the midpoint of the SCM, the GAP was above it in 66.7 % of subjects and classified to Type A, and below it in 33.3 % of subjects appointed to Type B. CONCLUSIONS: The anatomical landmarks utilized in this study are helpful in predicting the location of the GAP relative to the midpoint of the SCM and can reduce neural injuries within the posterior triangle of the neck.
[Mh] Termos MeSH primário: Nervo Acessório/anatomia & histologia
Músculos do Pescoço/inervação
Pescoço/inervação
[Mh] Termos MeSH secundário: Pontos de Referência Anatômicos
Anatomia Regional
Cadáver
Clavícula/inervação
Seres Humanos
Mandíbula/inervação
Processo Mastoide/inervação
Esvaziamento Cervical
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171027
[Lr] Data última revisão:
171027
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161017
[St] Status:MEDLINE
[do] DOI:10.1007/s00276-016-1758-y


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[PMID]:27435704
[Au] Autor:Brennan PA; Alam P; Ammar M; Tsiroyannis C; Zagkou E; Standring S
[Ad] Endereço:Maxillofacial Unit, Queen Alexandra Hospital, Portsmouth, PO6 3LY, UK. Peter.brennan@porthosp.nhs.uk.
[Ti] Título:Sternocleidomastoid innervation from an aberrant nerve arising from the hypoglossal nerve: a prospective study of 160 neck dissections.
[So] Source:Surg Radiol Anat;39(2):205-209, 2017 Feb.
[Is] ISSN:1279-8517
[Cp] País de publicação:Germany
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Anatomical variants of the spinal root of the accessory nerve and cervical plexus are well known but other variants are exceptionally rare. METHODS: A prospective study of 160 selective neck dissections was undertaken following an index case, where a presumed C1 nerve (travelling with the hypoglossal nerve) was found to innervate sternocleidomastoid (SCM). A search was subsequently made for this variant while not compromising the neck dissection surgery itself. Eight cases could not be included due to metastatic disease precluding safe dissection in this area. A nerve stimulator was used to confirm the motor supply to SCM. RESULTS: This nerve variant was found in 4/160 necks (2.5 %). In all cases, it originated directly from the hypoglossal nerve and stimulation resulted in isolated SCM contraction. No accessory nerve anomalies were found. CONCLUSION: This finding adds to the knowledge of variants in this area. Meticulous dissection and preservation of all nerves, where possible, is important for optimising functional outcomes following surgery.
[Mh] Termos MeSH primário: Nervo Acessório/anatomia & histologia
Variação Anatômica
Plexo Cervical/anatomia & histologia
Nervo Hipoglosso/anormalidades
Músculos do Pescoço/inervação
[Mh] Termos MeSH secundário: Carcinoma de Células Escamosas/cirurgia
Neoplasias de Cabeça e Pescoço/cirurgia
Seres Humanos
Esvaziamento Cervical
Estudos Prospectivos
Extremidade Superior
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170926
[Lr] Data última revisão:
170926
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160721
[St] Status:MEDLINE
[do] DOI:10.1007/s00276-016-1723-9


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[PMID]:27216244
[Au] Autor:Tubbs RS; Ajayi OO; Fries FN; Spinner RJ; Oskouian RJ
[Ad] Endereço:a Department of Neurosurgery , Seattle Science Foundation , Seattle , WA , USA.
[Ti] Título:Variations of the accessory nerve: anatomical study including previously undocumented findings-expanding our misunderstanding of this nerve.
[So] Source:Br J Neurosurg;31(1):113-115, 2017 Feb.
[Is] ISSN:1360-046X
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: The anatomy of the accessory nerve has been well described but continued new clinical and anatomical findings exemplify our lack of a full understanding of the course of this nerve. Therefore, this study aimed to expand on our knowledge of the course of the 11th cranial nerve via anatomical dissections. METHODS: Fifty-six cadavers (112 sides) underwent dissection of the accessory nerve from its cranial and spinal origins to its emergence into the posterior cervical triangle. Immunohistochemistry was performed when appropriate. RESULTS: Our findings included two cases (1.8%) where the nerve was duplicated, one intracranially and one extracranially. One accessory nerve (0.9%) was found to enter its own dural compartment within the jugular foramen. The majority of sides (80%) were found to have a cranial root of the accessory nerve. Thirty-one sides (28%) had connections to cervical dorsal roots medially and three sides (2.7%) laterally. Medial connections were most common with the C1 nerve. Medial components of these dorsal root connections were all sensory in nature. However, lateral components were motor on two sides (1.8%). Nerves traveled anterior to the internal jugular vein on 88% of sides. One (0.9%) left side nerve joined an interneural anastomosis between the dorsal rootlets. Macroganglia were found on the spinal part of the intracranial nerve on 13% of sides. The lesser occipital nerve arose directly from the accessory nerve on two sides (1.8%) and communicated with the accessory nerve on 5.4% of sides. One side (0.9%) was found to communicate with the facial nerve with both nerves innervating the sternocleidomastoid muscle. CONCLUSIONS: Additional anatomical knowledge of the variants of the accessory nerve may benefit patient care when this nerve is pathologically involved.
[Mh] Termos MeSH primário: Nervo Acessório/anatomia & histologia
[Mh] Termos MeSH secundário: Idoso
Encéfalo/anatomia & histologia
Cadáver
Nervos Cranianos/anatomia & histologia
Dissecação
Músculos Faciais/inervação
Feminino
Gânglios Espinais/anatomia & histologia
Seres Humanos
Imuno-Histoquímica
Masculino
Medula Espinal/anatomia & histologia
Raízes Nervosas Espinhais/anatomia & histologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160525
[St] Status:MEDLINE
[do] DOI:10.1080/02688697.2016.1187253


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[PMID]:27759813
[Au] Autor:Maranhão-Filho P; Gonik R
[Ad] Endereço:Universidade Federal do Rio de Janeiro, Faculdade de Medicina, Serviço de Neurologia, Hospital Universitário Clementino Fraga Filho, Rio de Janeiro RJ, Brasil.
[Ti] Título:A tribute to Wartenberg's refined neurological examination.
[So] Source:Arq Neuropsiquiatr;74(10):855-857, 2016 Oct.
[Is] ISSN:1678-4227
[Cp] País de publicação:Brazil
[La] Idioma:eng
[Ab] Resumo:Robert Wartenberg was a renowned 20th century neurologist who contributed greatly to our understanding of the neurological examination. This article aims to illustrate his legacy by highlighting five seminal neurological signs.
[Mh] Termos MeSH primário: Exame Neurológico/história
Exame Neurológico/métodos
Neurologia/história
[Mh] Termos MeSH secundário: Nervo Acessório
História do Século XX
Seres Humanos
Palpação
Polegar/fisiopatologia
Vibração
Punho/fisiopatologia
[Pt] Tipo de publicação:BIOGRAPHY; HISTORICAL ARTICLE; JOURNAL ARTICLE
[Ps] Nome de pessoa como assunto:Wartenberg R
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161021
[St] Status:MEDLINE


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[PMID]:27740958
[Au] Autor:Placheta E; Tinhofer I; Schmid M; Reissig LF; Pona I; Weninger W; Rath T; Chuang DC; Tzou CH
[Ad] Endereço:From the *Division of Plastic and Reconstructive Surgery, Department of Surgery, †Center for Anatomy and Cell Biology Medical University of Vienna, Vienna, Austria; and ‡Department of Plastic Surgery, Chang Gung Memorial Hospital, Chang Gung University, Taipei, Taiwan.
[Ti] Título:The Spinal Accessory Nerve for Functional Muscle Innervation in Facial Reanimation Surgery: An Anatomical and Histomorphometric Study.
[So] Source:Ann Plast Surg;77(6):640-644, 2016 Dec.
[Is] ISSN:1536-3708
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Facial reanimation surgery is performed in severe cases of facial palsy to restore facial function. In a 1-stage procedure, the spinal accessory nerve can be used as a donor nerve to power a free gracilis muscle transplant for the reanimation of the mouth. The aim of this study was to describe the surgical anatomy of the spinal accessory nerve, provide a guide for reliable donor nerve dissection, and analyze the available donor axon counts. METHODS: Dissections were performed on 10 nonembalmed cadavers (measurements of 20 nerves). Surgical anatomy of the spinal accessory nerve was described and distances to important landmarks were measured. Nerve biopsies were obtained of the main nerve trunk distal to the skull base, caudoposterior to the sternocleidomastoid muscle, proximal to the trapezius muscle and at the level of donor nerve harvest to analyze the myelinated axon count throughout the course of the spinal accessory nerve. The donor nerve length and available donor nerve axon count were the primary outcome parameters in this study. RESULTS: The mean donor nerve length was 11.6 cm. The spinal accessory nerve was transferred to the mandibular angle without tension for ideal coaptation to the free muscle transplant. After retraction of the trapezius muscle, a small distal nerve branch that leaves the main nerve trunk at a 90-degree angle medially was used as a landmark to indicate the level of donor nerve transection. On average, 1400 myelinated donor axons were available for innervation of the gracilis muscle transplant. CONCLUSIONS: This study gives a practical guide for spinal accessory nerve dissection for its application in facial reanimation as a motor source for the innervation of a free muscle transplant.
[Mh] Termos MeSH primário: Nervo Acessório/anatomia & histologia
Nervo Acessório/transplante
Paralisia Facial/cirurgia
Músculo Grácil/inervação
Músculo Grácil/transplante
Procedimentos Neurocirúrgicos/métodos
[Mh] Termos MeSH secundário: Idoso
Idoso de 80 Anos ou mais
Pontos de Referência Anatômicos
Dissecação/métodos
Feminino
Seres Humanos
Masculino
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161015
[St] Status:MEDLINE


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[PMID]:27383724
[Au] Autor:Senes FM; Catena N; Dapelo E; Senes J
[Ad] Endereço:Reconstructive and Hand Surgery Unit, Department of Head, Neck and Neurosciences, Instituto Giannina Gaslini-Genova, Italy.
[Ti] Título:Nerve Transfer for Elbow Extension in Obstetrical Brachial Plexus Palsy.
[So] Source:Ann Acad Med Singapore;45(5):221-4, 2016 May.
[Is] ISSN:0304-4602
[Cp] País de publicação:Singapore
[La] Idioma:eng
[Mh] Termos MeSH primário: Traumatismos do Nascimento/cirurgia
Neuropatias do Plexo Braquial/cirurgia
Transferência de Nervo/métodos
Nervo Radial/cirurgia
[Mh] Termos MeSH secundário: Nervo Acessório/transplante
Traumatismos do Nascimento/complicações
Neuropatias do Plexo Braquial/etiologia
Pré-Escolar
Intervenção Médica Precoce
Cotovelo
Seres Humanos
Lactente
Nervos Intercostais/transplante
Nervo Sural/transplante
Fatores de Tempo
Resultado do Tratamento
Nervo Ulnar/transplante
[Pt] Tipo de publicação:LETTER
[Em] Mês de entrada:1702
[Cu] Atualização por classe:170214
[Lr] Data última revisão:
170214
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160708
[St] Status:MEDLINE


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[PMID]:27383201
[Au] Autor:Emamhadi M; Alijani B; Andalib S
[Ad] Endereço:Brachial Plexus and Peripheral Nerve Injury Center, Guilan University of Medical Science, Rasht, Iran.
[Ti] Título:Long-term clinical outcomes of spinal accessory nerve transfer to the suprascapular nerve in patients with brachial plexus palsy.
[So] Source:Acta Neurochir (Wien);158(9):1801-6, 2016 Sep.
[Is] ISSN:0942-0940
[Cp] País de publicação:Austria
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: For the reconstruction of brachial plexus lesions, restoration of elbow flexion and shoulder function is fundamental and is achieved by dual nerve transfers. Shoulder stabilization and movement are crucial in freedom of motion of the upper extremity. In patients with C5-C6 brachial plexus injury, spinal accessory nerve transfer to the suprascapular nerve and a fascicle of ulnar nerve to musculocutaneous nerve (dual nerve transfer) are carried out for restoration of shoulder abduction and elbow flexion, respectively. In the present study, we evaluated the long-term clinical outcomes of spinal accessory nerve transfer to the suprascapular nerve for restoration of shoulder abduction in patients with brachial plexus palsy undergoing a dual nerve transfer. PATIENTS AND METHODS: In the present retrospective review, 22 consecutive subjects with upper brachial plexus palsy were assessed. All of the subjects underwent spinal accessory nerve transfer to the suprascapular nerve and a dual nerve transfer from the ulnar nerve to the biceps branch and from the median nerve to the brachialis branch of the musculocutaneous nerve simultaneously. All of the subjects were followed up for 18 to 24 months (average, 21.7 months) for assessing the recovery of the shoulder abduction and motor function. RESULTS: Spinal accessory nerve transfer to the suprascapular nerve showed a motor function recovery of M3 and M4 in 13.6 and 63.6% of the subjects, respectively. However, 22.7 % of the subjects remained with a motor function of M2. The mean of shoulder abduction reached 55.55 ± 9.95° (range, 40-72°). Altogether, good functional results regained in 17 out of 22 the subjects (77.2 %). Linear regression analysis showed that advanced age was a predictor of low motor functional grade. CONCLUSIONS: The evidence from the present study suggests that transferring spinal accessory nerve to the suprascapular nerve for restoring shoulder abduction is an effective and reliable treatment with high success rate in patients with brachial plexus palsy, especially in young patients.
[Mh] Termos MeSH primário: Nervo Acessório/cirurgia
Neuropatias do Plexo Braquial/cirurgia
Transferência de Nervo/métodos
Avaliação de Resultados (Cuidados de Saúde)
Paralisia/cirurgia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Seres Humanos
Masculino
Meia-Idade
Estudos Retrospectivos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170908
[Lr] Data última revisão:
170908
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160708
[St] Status:MEDLINE
[do] DOI:10.1007/s00701-016-2886-1


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[PMID]:27268496
[Au] Autor:Overland J; Hodge JC; Breik O; Krishnan S
[Ad] Endereço:ENT Department,Royal Adelaide Hospital,Australia.
[Ti] Título:Surgical anatomy of the spinal accessory nerve: review of the literature and case report of a rare anatomical variant.
[So] Source:J Laryngol Otol;130(10):969-972, 2016 Oct.
[Is] ISSN:1748-5460
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To evaluate the prevalence of variations in the anatomical route of the spinal accessory nerve from the base of the skull to the point where it enters the trapezius muscle. A case report is used to demonstrate an example of a rare but clinically important anatomical variant of this nerve. METHODS: An independent review of the literature using Medline, PubMed and Q Read databases was performed using combinations of terms including 'spinal accessory nerve', 'anatomy', 'surgical anatomy', 'anatomical variant', 'cranial nerve XI' and 'shoulder syndrome'. RESULTS: Our report demonstrates marked variation in spinal accessory nerve anatomy. At the point of crossing over the internal jugular vein, the spinal accessory nerve passes most commonly laterally (anterior) to the internal jugular vein. The reported incidence of this lateral relationship varies from 67 to 96 per cent. The nerve can also pierce the internal jugular vein, as demonstrated in our case study, with incidence ranging from 0.48 to 3.3 per cent. CONCLUSION: Anatomical variations of the spinal accessory nerve are not uncommon, and it is important for the surgeon to be aware of such variations when undertaking surgery in both the anterior and posterior triangles of the neck.
[Mh] Termos MeSH primário: Nervo Acessório/anatomia & histologia
Esvaziamento Cervical/métodos
[Mh] Termos MeSH secundário: Nervo Acessório/cirurgia
Seres Humanos
Veias Jugulares/anatomia & histologia
Veias Jugulares/cirurgia
Masculino
Ilustração Médica
Meia-Idade
Pescoço/inervação
Pescoço/cirurgia
Fotografia
Músculos Superficiais do Dorso/inervação
Músculos Superficiais do Dorso/cirurgia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1701
[Cu] Atualização por classe:170127
[Lr] Data última revisão:
170127
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:160609
[St] Status:MEDLINE



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