{"id":64,"date":"2017-02-24T12:57:03","date_gmt":"2017-02-24T12:57:03","guid":{"rendered":"http:\/\/neurous.dk\/?page_id=64"},"modified":"2018-07-02T13:28:22","modified_gmt":"2018-07-02T13:28:22","slug":"xi-n-accessorius","status":"publish","type":"page","link":"https:\/\/neurous.dk\/?page_id=64","title":{"rendered":"XI. N. ACCESSORIUS"},"content":{"rendered":"<p>N. accesorius er en rent motoriske nerve som innerverer m. sternecleidomastorideus og m. trapezius.<\/p>\n<p><strong>Unders\u00f8gelse<br \/>\n<\/strong><em>M. sternecleidomastorideus<\/em><br \/>\nFunktionen af m. sternecleidomastorideus vurderes ved at patienten roterer hovedet lateralt og fastholder denne stilling trods kraftigt tryk modsat fra unders\u00f8geren. I denne lateralrotation indg\u00e5r ogs\u00e5 mm. trapezius og scaleni. Samtidigt palperes musklen og muskelfylden sammenlignes p\u00e5 de 2 sider. Ved psykogen hemiparese har patienterne og nedsat kraft ved hoveddrejning mod paresen. Denne hoveddrejning er dog som f\u00f8lge af modsatte m. sternecleidoimastoideus.<\/p>\n<p><em>M. trapezius<\/em><br \/>\nTrapeziusfunktionen vurderes ved kraften mod skulderl\u00f8ft. Ved l\u00e6sion vil patienten vil ikke kunne h\u00e6ve armen over 90 grader.<\/p>\n<p><iframe src=\"https:\/\/player.vimeo.com\/video\/249801513?app_id=122963\" width=\"1440\" height=\"810\" frameborder=\"0\" title=\"Unders&oslash;gelse af n. accessorius\" webkitallowfullscreen mozallowfullscreen allowfullscreen><\/iframe><\/p>\n<p>&nbsp;<\/p>\n<span class=\"collapseomatic \" id=\"id6a1423d5f166f\"  tabindex=\"0\" title=\"<strong>Nogle \u00e5rsager til p\u00e5virkning af n. accessorius<\/strong>\"    ><strong>Nogle \u00e5rsager til p\u00e5virkning af n. accessorius<\/strong><\/span><div id=\"target-id6a1423d5f166f\" class=\"collapseomatic_content \">\nEnsidig p\u00e5virkning: Basisfraktur, foramen jugulare tumor, biopsitagning p\u00e5 halsen*, str\u00e5leneuropati.<\/p>\n<p>Dobbeltsidig p\u00e5virkning: ALS, myotonisk dystrofi, spinal muskul\u00e6r atrofi.<\/p>\n<p>NB. Lymfeknudebiopsi i trigonum p\u00e5 halsen kan resultere i m. sternocleidomastoideus atrofi og er if\u00f8lge Duus [Baehr &amp; Frotscher 2012] den hyppigste \u00e5rsag til ensidig perifer accessoriusl\u00e6sion. Dette er en iatrogen lidelse og er derfor vigtig at p\u00e5vise af forsikringsm\u00e6ssige grunde.<\/div>\n<p>&nbsp;<\/p>\n<span class=\"collapseomatic \" id=\"id6a1423d5f1681\"  tabindex=\"0\" title=\"<strong>Referencer<\/strong>\"    ><strong>Referencer<\/strong><\/span><div id=\"target-id6a1423d5f1681\" class=\"collapseomatic_content \">\n<strong>Baehr M, Froscher M.<\/strong> <em>Duus\u2019 Topical Diagnosis in Neurology; Anatomy. Physiology : Signs : Symptoms.<\/em> Georg Thieme Verlag , Stuttgart,2012; 1-333.<\/div>\n","protected":false},"excerpt":{"rendered":"<p>N. accesorius er en rent motoriske nerve som innerverer m. sternecleidomastorideus og m. trapezius. Unders\u00f8gelse M. sternecleidomastorideus Funktionen af m. sternecleidomastorideus vurderes ved at patienten roterer hovedet lateralt og fastholder denne stilling trods kraftigt tryk modsat fra unders\u00f8geren. I denne lateralrotation indg\u00e5r ogs\u00e5 mm. trapezius og scaleni. Samtidigt palperes musklen og muskelfylden sammenlignes p\u00e5 deContinue reading &rarr;<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"_links":{"self":[{"href":"https:\/\/neurous.dk\/index.php?rest_route=\/wp\/v2\/pages\/64"}],"collection":[{"href":"https:\/\/neurous.dk\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/neurous.dk\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/neurous.dk\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/neurous.dk\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=64"}],"version-history":[{"count":8,"href":"https:\/\/neurous.dk\/index.php?rest_route=\/wp\/v2\/pages\/64\/revisions"}],"predecessor-version":[{"id":913,"href":"https:\/\/neurous.dk\/index.php?rest_route=\/wp\/v2\/pages\/64\/revisions\/913"}],"wp:attachment":[{"href":"https:\/\/neurous.dk\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=64"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}