 Patient Advocate (old timer, 2000 posts)
Joined: Dec 2003 Posts: 2,606 Likes: 2 | Cheryl, all you say is spot on! The reason the accessory nerve needs evaluation is if it is cut during surgery, you will lose the sternocleidomastoid muscle on that side as well as the trapezius, levator scapulae. This prevents scapular rotation with intense pain on the inside edge of the scapula. Neuropathy or neuralgia from scarring caused by rads or trauma from rads/surgery allows full recovery even with prolonged loss of blood flow if you can restore the blood flow first, in all the ways you mentioned.
SCC Stage IV, BOT, T2N2bM0
Cisplatin/5FU x 3, 40 days radiation
Diagnosis 07/21/03 tx completed 10/08/03
Post Radiation Lower Motor Neuron Syndrome 3/08.
Cervical Spinal Stenosis 01/11
Cervical Myelitis 09/12
Thoracic Paraplegia 10/12
Dysautonomia 11/12
Hospice care 09/12-01/13.
COPD 01/14
Intermittent CHF 6/15
Feeding tube NPO 03/16
VFI 12/2016
ORN 12/2017
Cardiac Event 06/2018
Bilateral VFI 01/2021
Thoracotomy Bilobectomy 01/2022
Bilateral VFI 05/2022
Total Laryngectomy 01/2023
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