Accessory nerve stimulation: motor response of the sternocleidomastoid muscle

Neurophysiologie clinique = Clinical neurophysiology
S Pinto, M de Carvalho

Abstract

The aim of this study is to describe a method for recording compound muscle action potential (CMAP) from the sternocleidomastoid (SCM) in response to accessory-nerve stimulation. Fifty-four subjects were included. Accessory nerve was stimulated at neck in two different positions; CMAPs were recorded with surface electrodes. Motor amplitude, area, duration, distal latency and intensity of stimulation at different sites were evaluated. CMAPs were evoked in every subject. We did not observe interside differences or variations related to age. Stimulation behind SCM evoked CMAPs with slightly shorter latencies and with less stimulus intensity. CMAPs of the SCM can be easily obtained by accessory nerve stimulation at the neck; this method allows a better determination of the accessory nerve lesion site. In addition, this method can be useful in the evaluation of patients with amyotrophic lateral sclerosis.

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Citations

Nov 20, 2016·Muscle & Nerve·Paul SerorTimothée Lenglet
Jan 4, 2018·Journal of Clinical Neurophysiology : Official Publication of the American Electroencephalographic Society·Amro M Stino, Benn E Smith
Jan 24, 2018·Journal of Neurotrauma·Jean-Claude StamegnaFrançois S Roman

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