Brachial Plexus Birth Palsy Management: Currents: UI Health Care History brachial plexus birth palsy presents as paralyses of the infant s arm Referral service To refer infants with brachial plexus birth palsy to R. http://www.uihealthcare.com/news/currents/vol2issue4/2brachplexus.html
Extractions: Currents: Fall 2001, Volume 2, Number 4 Zlatko Anguelov (in collaboration with R. Kumar Kadiyala, M.D., Ph.D.) History: Brachial plexus birth palsy presents as paralyses of the infant's arm resulting from obstetric injuries to the brachial plexus. Risk factors for birth injury include large size for gestational age, multiparous pregnancy, prolonged labor, or difficult delivery. Shoulder dystocia and difficult arm or head extraction increase the risk of brachial plexus stretching that usually causes neural injury. EMG studies have indicated an in utero cause in some cases. Figure 1. Brachial plexus (schematized) The location and range of neural lesions determine the type of arm muscles' dysfunction. In the majority of cases, the upper trunk (C5 and C6) is injured causing the so-called Erb's palsy. Less often, the entire plexus (C5 to T1) can be involved, while in a rare condition known as Klumpke's palsy only the lower trunk (C8 and T1) bears the lesions. Upper trunk injuries are generally postganglionic and have a better prognosis with regard to full recovery than the preganglionic lesions typical for the lower trunk. New facts: This palsy occurs in 0.1% to 0.4% of live births. Most infants who show signs of recovery during the first two months of life will subsequently have normal function. Those who do not recover in the first three months of life are at risk for long-term disability due to limited muscle strength and range of motion. Thus, the decision to allow for spontaneous reinnervation and muscle/motion recovery or to undertake microsurgical reconstruction of the injured plexus depends on the type of nerve lesion (stretch, rupture, or avulsion); the level of injury (partial or total); and the severity of the injury.
Brachial Plexus Injury / Erb S Palsy Lawsuit - ClassActionAmerica.com Find out about brachial plexus Injury / Erb s palsy Lawsuit at Class Action America.Find brachial plexus Injury / Erb s palsy Lawsuit information along http://www.classactionamerica.com/Current-Cases/Brachial-Plexus-Injury-Erbs-Pals
Brachial Plexus Birth Palsy - Children's Hospital Boston brachial plexus birth palsy refers to an injury to these nerves sustained Risk factors for the development of brachial plexus birth palsy include large http://www.childrenshospital.org/az/Site1038/mainpageS1038P0.html
Extractions: or find by letter: A-F G-L M-R S-Z My Child Has... Home Brachial Plexus Birth Palsy Brachial Plexus Birth Palsy Programs that treat this condition Brachial Plexus Program What is the brachial plexus? The brachial plexus is a network of nerves which run from the cervical spinal cord to the muscles of the upper limb. What is brachial plexus birth palsy (BPBP)? Brachial plexus birth palsy refers to an injury to these nerves sustained during childbirth. The nerves of the brachial plexus may be stretched, compressed, or torn. This may result in loss of muscle function and subsequent paralysis of the upper limb. Injuries may affect all or only a part of the brachial plexus, resulting in varying degrees of upper extremity involvement. Injuries to the upper brachial plexus (C5, C6) affect muscles of the shoulder and elbow, while injuries to the lower brachial plexus (C7, C8, and T1) can affect muscles of the forearm and hand. What are the types of brachial plexus birth palsy? Brachial plexus birth palsies are often divided into different categories, depending upon the type of nerve injury and the pattern of nerves involved. There are four different types of nerve injuries that may occur: Avulsion - The nerve roots are torn from the spinal cord. This type of injury is less common. Avulsions cannot be surgically repaired.
Extractions: InjuryBoard.com September 8, 2005 The life expectancy for all Americans at birth is now 77.4 years. Personal Injury Guidant Defibrillator Recall Vioxx / Rofecoxib Celebrex / Celecoxib ... Birth Injuries Brachial Plexus / Erb's Palsy Overview If you or a family member has been injured, contact a personal injury attorney today. Just fill out InjuryBoard.com's on-line questionnaire and have a personal injury lawyer review your potential personal injury claim - free of charge. Ask an Attorney During a difficult delivery, a network of nerves known as the brachial plexus may suffer permanent damage. The brachial plexus, located in the neck, conducts signals from the spine to the shoulder, arm, and hand. When a baby's shoulders are pulled with unnecessary force or become impacted during delivery, damage to the brachial plexus may result. Erb-Duchenne (Erbs) palsy refers to paralysis of the upper brachial plexus. Dejerine-Klumpke (Klumpkes) palsy refers to paralysis of the lower brachial plexus. Symptoms of Erb's and Klumpke's Palsy include, but may not be limited to, paralysis, atrophy and limpness of the arm, hand or wrist. Loss of sensation may also result. Over time, the damaged arm may grow smaller than the other.
Brachial Plexus Injury, Cincinnati Children's Hospital Medical Center Klumpke s palsy. Rare injury of the lower brachial plexus (usually followingbreech delivery with arm above the head); Nerves C8 and T1 are involved http://www.cincinnatichildrens.org/health/info/neurology/diagnose/brachial-plexu
Extractions: Home Contact Us Site Map Go to Advanced Search ... Conditions and Diagnoses Brachial Plexus Injury Chiari Malformation Craniosynostosis Epilepsy and Seizures Fever-related Seizures ... Treatment Related Services Brachial Plexus Center The brachial plexus (BRAY-key-el PLEK-sis) is a network of nerves that provides movement and feeling to the shoulder, arm and hand. The nerves supporting the arm exit the spinal column high in the neck; those that support the hand and fingers exit lower in the neck. This nerve complex is composed of four cervical nerve roots and the first thoracic nerve root . These roots combine to form three trunks . C5-C6 form the upper trunk , C7 continues as the middle trunk and C8-T1 form the lower trunk Each trunk splits into a division . Half the divisions globally supply flexor muscles (that lift and bend the arm). The others supply the extensor muscles (that straighten the arm and bring it down). The cause of the injury is usually due to a stretching injury involving the child's brachial plexus during the course of a difficult vaginal delivery, but this is not always the case as such injuries have also been reported following Caesarean sections. This excessive stretch results in incomplete sensory and/or motor function of the injured nerve. Nerve injuries vary in severity from a mild stretch to the nerve root tearing away from the spinal cord.
Extractions: The brachial plexus is the network of dividing and anastomosing nerves within the neck and shoulder supplied by the C5, C6, C7, C8 and T1 nerves exiting from the spine. Injury to this structure can occur at birth and the incidence of this ranges from 0.3 to 2 per 1000 births. Nothing is as disheartening as injury to an infant during his or her birth. Mother, father and the extended family have awaited the birth with anticipation and joy only to have this dashed, leaving all despairing over the child's disabilities. The natural tendency is to back away from the injury expecting that it will heal with a little time. While this is frequently the case, experience has shown that infants with this injury can benefit from treatment. Consequently, infants with this injury deserve the attention of a multi-disciplinary group specializing in this injury if full recovery has not occurred within the first month of life. What follows is a monograph dealing with injury to the brachial plexus of infants, its history of treatment and how the injury is treated today.
Extractions: In high-impact accidents or falls, an injury to the brachial plexus (traumatic injuries) can leave a person's arm useless. Brachial plexus dysfunction can also occur in infants during birth (obstetrical brachial plexus palsy). Tumors, compression or irradiation can also injure the brachial plexus. For many years, Mayo Clinic physicians have been at the cutting edge of brachial plexus surgery. Using microsurgical techniques, surgeons can repair the individual nerves of the brachial plexus or donor grafts can be used to try to restore some function to the arm. In certain situations, a procedure called neurotization (nerve transfer) can be done. This technique involves sewing an adjacent, functioning nerve into a nonfunctioning muscle in an attempt to restore function. Transfer of a functioning thigh muscle (gracilis) can also be performed in certain instances to restore arm and hand function.
