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An unusual presentation of whiplash injury: long thoracic and spinal accessory nerve injury

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Abstract

Whiplash injuries from motor vehicle accidents are very common. The usual presentation and course of this condition normally results in resolution of symptoms within a few weeks. Brachial plexus traction injuries without any bone or joint lesion of the cervical spine have been reported before. We report a case where a gentleman was involved in a rear end vehicle collision, sustained a whiplash injury and was later found to have a long thoracic nerve palsy and spinal accessory nerve palsy. Although isolated injuries of both nerves following a whiplash injury have been reported, combined injury of the two nerves following a whiplash injury is very uncommon and is being reported for the first time.

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References

  1. Bodack MP, Tunkel RS, Marini SG, Nagler W (1998) Spinal accessory nerve palsy as a cause of pain after whiplash injury: case report. J Pain Symptom Manage 15(5):321–328

    Article  PubMed  CAS  Google Scholar 

  2. Borchgrevink G, Smevik O, Haave I, Haraldseth O, Nordby A, Lereim I (1997) MRI of cerebrum and cervical columna within 2 days after whiplash neck sprain injury. Injury 28(5–6):331–335

    Article  PubMed  CAS  Google Scholar 

  3. Gupta V, Posner B (2004) Trauma to the long thoracic nerve and associated scapula winging in a low-velocity rear-end automobile collision: case report. J Trauma 57(2):402–403

    Article  PubMed  Google Scholar 

  4. Hammacher ER, van der Werken C (1996) Acute neck sprain: “whiplash” reappraised. Injury 27(7):463–466

    Article  PubMed  CAS  Google Scholar 

  5. Ide M, Ide J, Yamaga M, Takagi K (2001) Symptoms and signs of irritation of brachial plexus in whiplash injuries. J Bone Joint Surg Br 83(2):226–229

    Article  PubMed  CAS  Google Scholar 

  6. Lovell ME, Galasko CS (2002) Whiplash disorders—a review. Injury 33(2):97–101

    Article  PubMed  CAS  Google Scholar 

  7. McMinn RMH (1994) Last’s anatomy: regional and applied, 9th edn. Churchill Livingstone, Edinburgh

    Google Scholar 

  8. Wiater JM, Flatow EL (1999) Long thoracic nerve injury. Clin Orthop Relat Res 368:17–27

    PubMed  Google Scholar 

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Correspondence to F. Alvi.

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Omar, N., Alvi, F. & Srinivasan, M.S. An unusual presentation of whiplash injury: long thoracic and spinal accessory nerve injury. Eur Spine J 16 (Suppl 3), 275–277 (2007). https://doi.org/10.1007/s00586-007-0413-z

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  • DOI: https://doi.org/10.1007/s00586-007-0413-z

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