Diseases of the eleventh cranial (spinal accessory) nerve. This nerve originates from
motor neurons in the lower medulla (accessory portion of nerve) and upper
spinal cord (spinal portion of nerve). The two components of the nerve join and exit the
skull via the jugular foramen, innervating the sternocleidomastoid and trapezius
muscles, which become weak or paralyzed if the nerve is injured. The nerve is commonly involved in
motor neuron disease, and may be injured by trauma to the posterior triangle of the
neck.