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“Winged” Eagle’s syndrome: neurophysiological findings in a rare cause of spinal accessory nerve palsy. Illustrative cases

Eric C Mitchell, Kitty Y Wu, Fawaz Siddiqi, John Yoo, Pavlo Ohorodnyk, Douglas Ross, and Thomas A Miller

the trapezius and sternocleidomastoid muscles, indicating a proximal compression point. Advanced imaging, such as CT with three-dimensional reconstruction and MRI, was helpful in excluding other causes of extrinsic SAN compression, such as a glomus tumor or meningioma. In these cases of SAN compression from an angulated or calcified styloid process, surgical decompression and styloidectomy led to good results with the recovery of trapezius function despite the prolonged degree of muscle atrophy. It is unclear if the patients will regain significant middle and