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SYNOPSIS

The accessory nerve can be inadvertently traumatized at the time of lymph node biopsy. The resulting shoulder and occipital pain is severe and disabling. The pain from damage to the Eleventh Cranial nerve can be as agonizing as the painful syndromes relating to the trigeminal and glossopharyngeal nerves. In addition to the severe pain, patients suffer from motor disability and cosmetic deformity associated with a drooping shoulder.