Aufsatz(elektronisch)1. November 2020

A practical approach of the pediatric patient with obstetrical brachial plexus palsy starting from 28 cases – Single centre experience over 6 years

In: Romanian Journal of Military Medicine, Band 123, Heft 4, S. 249-252

Alexandru Obregia Clinical Phychiatric Hospital, Department of Pediatric Neurology, Bucharest, Romania; Dica, Alice; Barca, Diana; Tarta-Arsene, Oana; Minciu, Ioana; Iliescu, Catrinel; Burloiu, Carmen; Butoianu, Niculina; Budisteanu, Magdalena; Pomeran, Cristina; Sandu, Carmen; Robanescu, Ligia; Anghelescu, Cristina; Zamfirescu, Dragos; Musat, Gabriela; Musat, Ovidiu; Craiu, Dana; Alexandru Obregia Clinical Phychiatric Hospital, Department of Pediatric Neurology, Bucharest, Romania Carol Davila Univesity of Medicine and Pharmacy, Department of Pediatric Neurology, Bucharest, Romania; Alexandru Obregia Clinical Phychiatric Hospital, Department of Pediatric Neurology, Bucharest, Romania Carol Davila Univesity of Medicine and Pharmacy, Department of Pediatric Neurology, Bucharest, Romania; Alexandru Obregia Clinical Phychiatric Hospital, Department of Pediatric Neurology, Bucharest, Romania Carol Davila Univesity of Medicine and Pharmacy, Department of Pediatric Neurology, Bucharest, Romania; Alexandru Obregia Clinical Phychiatric Hospital, Department of Pediatric Neurology, Bucharest, Romania Carol Davila Univesity of Medicine and Pharmacy, Department of Pediatric Neurology, Bucharest, Romania; Alexandru Obregia Clinical Phychiatric Hospital, Department of Pediatric Neurology, Bucharest, Romania; Alexandru Obregia Clinical Phychiatric Hospital, Department of Pediatric Neurology, Bucharest, Romania Carol Davila Univesity of Medicine and Pharmacy, Department of Pediatric Neurology, Bucharest, Romania; Alexandru Obregia Clinical Phychiatric Hospital, Department of Pediatric Neurology, Bucharest, Romania Victor Babes Institute of Pathology, Medical Genetic Laboratory, Bucharest, Romania Titu Maiorescu University, Faculty of Medicine, Department of Genetics, Bucharest, Romania; Alexandru Obregia Clinical Phychiatric Hospital, Department of Pediatric Neurology, Bucharest, Romania Carol Davila Univesity of Medicine and Pharmacy, Department of Pediatric Neurology, Bucharest, Romania; Alexandru Obregia Clinical Phychiatric Hospital, Department of Pediatric Neurology, Bucharest, Romania Carol Davila Univesity of Medicine and Pharmacy, Department of Pediatric Neurology, Bucharest, Romania; Alexandru Obregia Clinical Phychiatric Hospital, Department of Pediatric Neurology, Bucharest, Romania; Alexandru Obregia Clinical Phychiatric Hospital, Department of Pediatric Neurology, Bucharest, Romania; Floreasca Emergency Hospital, Department of General Surgery, Bucharest, Romania; Saint Mary Clinical Hospital, Department of Otolaryngology, Bucharest, Romania Carol Davila University of Medicine and Pharmacy, Department of Otolaryngology, Bucharest, Romania

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Abstract

Neonatal brachial plexus palsy is a complication that occurs during difficult vaginal delivery or due to unexplained causes, probably prenatal in which some or all brachial plexus branches are affected (avulsion, rupture, stretching). A cohort of 28 cases evaluated in our clinic in 6 years and 6 months (Jan 2007-July 2013) from the clinical and paraclinical point of view, treatment, and the outcome were analyzed. 17 (60.7%) of the patients were boys and 11 (39.2%) were girls. 14 (50%) had right brachial plexus palsy, 12 (42.8%) had left brachial plexus palsy and 2 (7.1%) had bilateral involvement. 5 (17.8%) of them had reconstructive surgery done. 11 (39.2%) had good to complete recovery. The purpose of this paper is to underline the importance of early presentation for neurological evaluation and the beginning of physical therapy.

Verlag

Asociatia Cadrelor Medicale din Spitalul Universitar de Urgenta Militar Central Dr. Carol Davila

ISSN: 2501-2312

DOI

10.55453/rjmm.2020.123.4.2

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