Prenatal brachial plexus paralysis

An 18-day-old child with a history of difficult breech delivery presented with wasting and weakness of C5-6-innervated muscles. The EMG examination performed the same day showed high-voltage polyphasic motor unit potentials without abnormal spontaneous activity. Both the EMG pattern and the clinical...

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Veröffentlicht in:Neurology 1997-07, Vol.49 (1), p.261-262
Hauptverfasser: PARADISO, G, GRANANA, N, MAZA, E
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GRANANA, N
MAZA, E
description An 18-day-old child with a history of difficult breech delivery presented with wasting and weakness of C5-6-innervated muscles. The EMG examination performed the same day showed high-voltage polyphasic motor unit potentials without abnormal spontaneous activity. Both the EMG pattern and the clinical features suggest an injury taking place several weeks before delivery. This presumption seems confirmed when compared with findings in our series of 100 EMG examinations in 78 children with diagnosis of Erb's palsy. Because of both clinical and medicolegal implications, early EMG testing is advisable in all patients with congenital brachial paralysis.
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subjects Biological and medical sciences
Brachial Plexus - physiopathology
Cranial nerves. Spinal roots. Peripheral nerves. Autonomic nervous system. Gustation. Olfaction
Electromyography
Female
Humans
Infant, Newborn
Medical sciences
Nervous system (semeiology, syndromes)
Neurology
Paralysis - physiopathology
title Prenatal brachial plexus paralysis
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