Bilateral obstetric brachial plexus paralysis: a case report.
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Contributors
Abstract
BACKGROUND: Whereas cases of unilateral obstetric brachial plexus paralysis have been sufficiently described and discussed in the literature cases of bilateral obstetric brachial plexus paralysis are extremely rare and so far have not been mentioned and discussed satisfactorily.
PATIENTS: We present a case of bilateral obstetric brachial plexus paralysis in an 8-months-old white boy. We performed a neurotisation of the Nervus suprascapularis with the Nervus accessorius and an Oberlin procedure on both sides in two operative steps.
RESULTS: In an early follow-up 6 months after the second operation and intensive physiotherapy the little patient was able to crawl with the active help of both arms.
CONCLUSIONS: Bilateral obstetric brachial plexus paralysis is a very rare incidence in infants. An interdisciplinary approach including paediatrics, plastic surgeons, neurosurgeons, neurologists, radiologists and physiotherapists is essential for the success of treatment strategies in such cases.
PATIENTS: We present a case of bilateral obstetric brachial plexus paralysis in an 8-months-old white boy. We performed a neurotisation of the Nervus suprascapularis with the Nervus accessorius and an Oberlin procedure on both sides in two operative steps.
RESULTS: In an early follow-up 6 months after the second operation and intensive physiotherapy the little patient was able to crawl with the active help of both arms.
CONCLUSIONS: Bilateral obstetric brachial plexus paralysis is a very rare incidence in infants. An interdisciplinary approach including paediatrics, plastic surgeons, neurosurgeons, neurologists, radiologists and physiotherapists is essential for the success of treatment strategies in such cases.
Details
Original language | English |
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Pages (from-to) | 57-59 |
Journal | Klinische Pädiatrie : clinical research and practice in pediatrics |
Volume | 221 |
Issue number | 2 |
Publication status | Published - 4 Mar 2009 |
Peer-reviewed | Yes |
Externally published | Yes |
External IDs
PubMed | 19263323 |
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Scopus | 65549104287 |