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Cranial Nerve XI (eleven) is know as the spinal accessory nerve and is responsible for the action of shoulder shrugging by way of its innervation of the trapezius muscle.

The function of this cranial nerve may also be tested by asking the patient to turn their head to the left and right and by resisting this motion by placing your hand on their chin (the muscle tested in this second scenario is the Sternocleidomastoid, SCM).

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