Orthopaedic Department, Central Clinic of Athens, Diagnostic and Treatment Center, Asklepiou 31 STR, ZC 10680, Athens, Greece.
Orthop Traumatol Surg Res. 2010 Sep;96(5):589-92. doi: 10.1016/j.otsr.2010.03.017. Epub 2010 Jun 26.
Spinal accessory nerve palsy may lead to dysfunction or paralysis of the trapezius muscle. Common causes are iatrogenic or secondary due to trauma, infection or tumour. Idiopathic palsy is considered extremely rare. We present the case of a 42-year-old Caucasian male suffering from a unilateral, isolated paralysis of his ipsilateral trapezius muscle. There was no related trauma, nor any past history of surgical procedures. An electromyographic study confirmed the idiopathic paralysis of the distal segment of the spinal accessory nerve.
副神经瘫痪可导致斜方肌功能障碍或瘫痪。常见病因包括医源性或因创伤、感染或肿瘤引起的继发性病因。特发性副神经瘫痪极为罕见。我们报告了一例 42 岁白人男性，其出现单侧、同侧斜方肌孤立性瘫痪。无相关创伤，也无任何既往手术史。肌电图研究证实为远端副神经的特发性瘫痪。
