Kayamori R, Orii K
Department of Rehabilitation Medicine, Niigata Prefectural Muikamachi Hospital, Japan.
Electromyogr Clin Neurophysiol. 1991 May-Jul;31(4):199-201.
A patient with Schmidt syndrome due to idiopathic accessory neuropathy has had paralysis of soft palate and larynx as well as trapezius and sternocleidomastoid muscles, reflecting involvement of cranial and spinal roots, respectively. In addition to vocal cord paralysis on the laryngoscopy, videofluoroscopy confirmed diminished mobility of the soft palate. Electrodiagnosis showed accessory neuropathy at the proximal segment. Furthermore, the accessory nerve innervated not only upper but also middle and lower portions of the trapezius muscles.
一名因特发性副神经病变导致施密特综合征的患者出现软腭和喉部麻痹，以及斜方肌和胸锁乳突肌麻痹，分别反映了颅神经和脊神经根受累。除喉镜检查显示声带麻痹外，电视荧光吞咽造影证实软腭活动度降低。电诊断显示近端节段的副神经病变。此外，副神经不仅支配斜方肌的上部，还支配其中部和下部。
