European Journal of Plastic Surgery

, Volume 38, Issue 4, pp 319–322 | Cite as

Spinal accessory nerve iatrogenic trauma following cervical lymph node biopsy. Treatment by anterior medial antebrachial cutaneous nerve graft: A case report

  • Petros K. Spyriounis
  • Spyridon A. VourtsisEmail author
Case Report


Spinal accessory nerve (SAN) injury often occurs as an iatrogenic nerve injury following posterior cervical lymph node biopsy. Failure to recognize the injury or delayed intervention by hoping that it will resolve with conservative treatment is a usual pitfall. Pain, shoulder drop, scapula instability, asymmetric neckline, and inability to abduct the arm may variably be the symptoms. Direct repair, nerve grafts, nerve conduits, and muscle transfers have been described as treatment options. We report on a case of using a 4.5-cm nerve autograft from the medial antebrachial cutaneous (MABC) nerve branch in order to repair an iatrogenic accessory nerve complete transection following a cervical node biopsy.

Level of Evidence: Level IV, therapeutic study.


Spinal accessory nerve damage Medial antebrachial cutaneous nerve Iatrogenic trauma Nerve graft 


Conflict of interest


Patient consent

Additional informed consent was obtained from all individual participants for whom identifying information is included in this article.

Ethical Standards

For this type of article formal consent from an ethics committee is not required.

Supplementary material

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Copyright information

© Springer-Verlag Berlin Heidelberg 2015

Authors and Affiliations

  1. 1.Hellenic Centre of Microsurgery & Reconstructive Plastic SurgeryAthensGreece

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