How is intraoperative diagnosis of a spinal accessory nerve (SAN) injury achieved?

Updated: Feb 09, 2018
  • Author: Rohan R Walvekar, MD; Chief Editor: Arlen D Meyers, MD, MBA  more...
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Answer

Intraoperative diagnosis is intuitive. A provoked movement of the shoulder in response to cautery or dissection must be carefully reviewed. Clinically examining the patient’s motor function postoperatively is best; in addition, widely explore the area during surgery to rule out an inadvertent injury. [11]


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