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We take this opportunity to emphasise that meticulous dissection is the only proven way to preserve the nerve. And that surgeons should be aware of this anatomical variation. SAN should be subjected to minimal traction during neck dissection to avoid tension neuropraxia and long-term shoulder dysfunction.<\/jats:p>","DOI":"10.1136\/bcr-2020-235487","type":"journal-article","created":{"date-parts":[[2020,6,22]],"date-time":"2020-06-22T02:37:12Z","timestamp":1592793432000},"page":"e235487","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Dual spinal accessory nerve: caution during neck dissection"],"prefix":"10.1136","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6532-2789","authenticated-orcid":false,"given":"Muhammad Hassan","family":"Danish","sequence":"first","affiliation":[{"name":"Surgery, Aga Khan University, Karachi, Sindh, Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3266-4015","authenticated-orcid":false,"given":"Haissan","family":"Iftikhar","sequence":"additional","affiliation":[{"name":"Surgery, Aga 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