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Conservative Treatment of Neonatal Brachial Plexus Palsy: A Narrative Review.
J Clin Med
December 2024
Unit of Hand Surgery, Microsurgery and Reconstructive, Department of Orthopaedics and Traumatology, CTO Hospital, 10126 Turin, Italy.
Neonatal brachial plexus palsy (NBPP) is a flaccid paralysis of the upper limbs that occurs in about 0.4 percent of live births. This condition can produce permanent disabilities; to date, there is no consensus on protocols to be applied for the rehabilitation of children with this condition.
View Article and Find Full Text PDFCranial nerve palsies following neuraxial blocks.
Agri
January 2024
Department of Anesthesiology and Reanimation, Koç University Hospital, İstanbul, Türkiye.
Spinal anesthesia is one of the most frequently performed regional anesthesia techniques for a variety of surgeries world-wide. Cranial nerve palsy is a rarely reported complication of central neuraxial block. The etiology varies; however, it is most often associated with nerve compression or traction due to intracranial hypotension.
View Article and Find Full Text PDFStaged Shoulder and Elbow Reconstruction in a Child with Obstetric Brachial Plexus Palsy: Six-year Follow-up.
Afr J Paediatr Surg
October 2024
Department of Orthopaedic Surgery, Division of Paediatric Orthopaedics, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
The management of obstetric brachial plexus palsy (OBPP) can be challenging, particularly in neglected patients. We report the long-term results of the surgical management of a late-presenting adolescent girl with severe left shoulder and elbow flexor paralysis secondary to OBPP. She was subjected to staged shoulder and elbow reconstruction in the form of trapezius transfer and latissimus and teres major transfer to enhance shoulder abduction and lateral rotation, and flexor-pronator transfer to the anterior distal humerus to enhance elbow flexion.
View Article and Find Full Text PDFCurrent Concepts in Brachial Plexus Birth Injuries: A Comprehensive Narrative Review.
Plast Reconstr Surg Glob Open
August 2024
From the Department of Orthopaedic Surgery, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, N.Y.
Article Synopsis
- Brachial plexus birth injury (BPBI) causes upper extremity paralysis in infants due to various maternal and neonatal factors, with many children experiencing long-term functional limitations despite potential for recovery.
- This review summarizes findings from a literature search on BPBI's anatomy, clinical presentation, treatment, and the need for specialized care.
- It emphasizes the necessity of timely referrals to expert clinics, ongoing research for improved diagnostics, and the vital collaboration between healthcare providers and families to enhance care and outcomes for affected infants.
Anaesthetic management of a parturient with hypokalaemic periodic paralysis for caesarean section: A case report and review of the literature.
Anaesth Intensive Care
July 2024
Department of Anaesthesia, Gosford Hospital, Gosford, Australia.
A 32-year-old multigravida woman, with known familial hypokalaemic periodic paralysis, underwent spinal anaesthesia for an elective lower segment caesarean section. There are several case reports in the literature discussing the optimal anaesthetic technique. In the past there has not been an emphasis on aggressive and early potassium replacement.
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