Accessory nerve

Accessory nerve
Accessory nerve
	View of the human brain from below. The accessory nerve emerges from the medulla of the brainstem, and is visible at the bottom of the image in blue.
Details
Innervates	Sternocleidomastoid muscle, trapezius muscle
Identifiers
Latin	nervus accessorius
MeSH	D000055
TA98	A14.2.01.184; A14.1.02.112
TA2	6352
FMA	6720
	Anatomical terms of neuroanatomy

The accessory nerve, also known as the eleventh cranial nerve, cranial nerve XI, or simply CN XI, is a cranial nerve that supplies the sternocleidomastoid and trapezius muscles. It is classified as the eleventh of twelve pairs of cranial nerves because part of it was formerly believed to originate in the brain. The sternocleidomastoid muscle tilts and rotates the head, whereas the trapezius muscle, connecting to the scapula, acts to shrug the shoulder.

Traditional descriptions of the accessory nerve divide it into a spinal part and a cranial part.^[1] The cranial component rapidly joins the vagus nerve, and there is ongoing debate about whether the cranial part should be considered part of the accessory nerve proper.^[2]^[1] Consequently, the term "accessory nerve" usually refers only to nerve supplying the sternocleidomastoid and trapezius muscles, also called the spinal accessory nerve.^[3]

Strength testing of these muscles can be measured during a neurological examination to assess function of the spinal accessory nerve. Poor strength or limited movement are suggestive of damage, which can result from a variety of causes. Injury to the spinal accessory nerve is most commonly caused by medical procedures that involve the head and neck.^[4] Injury can cause wasting of the shoulder muscles, winging of the scapula, and weakness of shoulder abduction and external rotation.^[5]

The accessory nerve is derived from the basal plate of the embryonic spinal segments C1–C6.

^ ^a ^b Gray's Anatomy 2008, p. 459.
^ "Spinal Accessory Nerve". Structure of the Human body, Loyola University Medical Education Network. Archived from the original on 16 June 2007. Retrieved 17 June 2007.
^ Cite error: The named reference ANTHONEY1993 was invoked but never defined (see the help page).
^ London J, London NJ, Kay SP (1996). "Iatrogenic accessory nerve injury". Annals of the Royal College of Surgeons of England. 78 (2): 146–50. PMC 2502542. PMID 8678450.
^ Cite error: The named reference KELLEY2008 was invoked but never defined (see the help page).

[FOOTNOTEGray's_Anatomy2008459-1] Gray's Anatomy 2008, p. 459.

[luc-2] "Spinal Accessory Nerve". Structure of the Human body, Loyola University Medical Education Network. Archived from the original on 16 June 2007. Retrieved 17 June 2007.

[ANTHONEY1993-3] Cite error: The named reference ANTHONEY1993 was invoked but never defined (see the help page).

[london-4] London J, London NJ, Kay SP (1996). "Iatrogenic accessory nerve injury". Annals of the Royal College of Surgeons of England. 78 (2): 146–50. PMC 2502542. PMID 8678450.

[KELLEY2008-5] Cite error: The named reference KELLEY2008 was invoked but never defined (see the help page).

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Cranial nerves
CN 0 – Terminal CN I – Olfactory CN II – Optic CN III – Oculomotor CN IV – Trochlear CN V – Trigeminal CN VI – Abducens CN VII – Facial CN VIII – Vestibulocochlear CN IX – Glossopharyngeal CN X – Vagus CN XI – Accessory CN XII – Hypoglossal
Overview Table
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