Interscapular pain with Chiari Type I malformation attributed to atypical spinal accessory neuralgia

Author:

Singh Anoop Kumar,Kumari Gayatri

Abstract

Background: The spinal accessory nerve (XI) is traditionally considered a motor nerve. However, as some studies have documented the presence of nociceptive fibers in XI, vascular XI neural compression may lead to an atypical neuralgia. Case Description: A 27-year-old male presented with a Chiari Type I malformation contributing to interscapular pain. Following a posterior fossa and microvascular decompression of XI, the patient improved, thus confirming the underlying diagnosis of a XI atypical neuralgia. Conclusion: Unilateral, posterior-interscapular deep pain may be due to an atypical spinal accessory nerve (XI) neuralgia rather than a Chiari Type I malformation or syrinx. Posterior fossa decompression, subpial tonsillar resection, and XI nerve microvascular decompression resolved this patient’s complaints. In the future, CTA or MRA vascular studies along with a balanced steady-state gradient echo MRI sequence would be better to document the presence of XI nerve neurovascular compromise.

Publisher

Scientific Scholar

Subject

Neurology (clinical),Surgery

Reference8 articles.

1. Sensory Pathways in the spinal accessory nerve;Bremner-Smith;J Bone Joint Surg Br,1999

2. Hemifacial spasm associated with Type 1 chiari malformation: A retrospective study of 13 cases;Ning;Neurosurg Rev,2017

3. The cerebellar arteries;Rhoton;Rhotons Anat,2003

4. Syringomyelia. Ramamurthi and Tandon’s Textbook of Neurosurgery. 3rd ed Ch. 24. New Delhi;Suresh,2012

5. Detection and characterization of a sensory microganglion associated with the spinal accessory nerve: A scanning laser confocal microscopic study of the neurons and their processes;Wetmore;J Comp Neurol,1991

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