Scapular Winging After Cervical Lymph Node Biopsy

By Aziz Shaibani, MD

A 37-year-old woman who had a cervical lymph node biopsy three months earlier presented with pain and stiffness of the right upper back muscles that did not respond to gabapentin. She developed tingling of the right little finger a couple of weeks earlier. A chiropractic manipulation gave her temporary relief.

Find the answer and diagnosis in the next edition of Practical Neurologyor online, posted along with the patient video at

Case selected from Dr. Shaibani’s Video Atlas of Neuromuscular Diseases, now available from Oxford University Press. Aziz Shaibani, MD, FACP, FAAN is Director of Nerve & Muscle Center of Texas and Clinical Professor of Medicine at Baylor College of Medicine in Houston, TX. He is also Adjunct Professor of Neurology at Kansas University Medical Center in Kansas City, Kansas.


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About Practical Neurology

Launched in 2002, Practical Neurology is a publication uniquely dedicated to presenting current approaches to patient management, synthesis of emerging research and data, and analysis of industry news with a goal to facilitate practical application and improved clinical practice for all neurologists. Our straightforward articles give neurologists tools they can immediately put into practice.