Yenidoğan brakial pleksus palsisi
Yıl: 2006 Cilt: 52 Sayı: 4 Sayfa Aralığı: 174 - 180 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022
Yenidoğan brakial pleksus palsisi
Öz: Obstetrik brakial pleksus palsisi doğum sırasında brakial pleksusun hasarlanmasıyla kolda görülen flask bir paralizidir ve önemli bir neonatal morbidite nedenidir. Hastada ilk iki haftada iyileşme görülmesi iyi prognoza işarettir, ancak iki haftadan sonra başlayan iyileşmede tam bir düzelme elde etmek zordur. Obstetrik brakial pleksus palsisinin değerlendirilmesi ve tanısında yüksek rezolüsyonlu manyetik rezonans görüntüleme en iyi araçtır. Elektrodiagnostik inceleme ise yaralanma zamanı, derecesi, prognozu ve lokalizasyonu konusunda bilgi vermektedir. Temel tedavi yöntemleri düzenli ev programlarıyla beraber olan fizik tedavi ve/veya iş-uğraşı terapisidir. Bazı brakial palsili çocuklarda elektriksel stimulasyon ve botulinum toksin injeksiyonu gibi cerrahi dışı girişimler iyileşmeye yardım etmektedir. Az sayıda hasta erken dönemde cerrahi girişimden yararlanabilmektedir. Temel olarak tedavide önemli nokta multidisipliner yaklaşım ve sonuçların dikkatli değerlendirilmesidir.
Anahtar Kelime: Konular:
Neonatal brachial plexus palsy
Öz: Obstetrical brachial plexus palsy is defined a flaccid paresis of an arm at birth with an injury to the brachial plexus and a serious form of neonatal morbidity. Rate of recovery in the first two weeks is a good indicator of final outcome whereas complete recovery is unlikely if no improvement is noted in the first 2 weeks of life. High-resolution magnetic resonance imaging is the best procedure for evaluating and diagnosis of obstetrical brachial plexus palsy. Electrodiagnostic studies can provide data for timing, degree, prognosis and localization. The mainstay of treatment is physical and/or occupational therapy together with a regular home exercise program. Non-surgical procedures like electrical stimulation and botulinum toxin injections may prove effective in some brachial palsy children. A few patients may benefit from surgery in the early stages. The most important factor in treatment is a multidisciplinary approach with careful evaluation of outcome.
Anahtar Kelime: Konular:
Belge Türü: Makale Makale Türü: Derleme Erişim Türü: Erişime Açık
- 1. McDonald MC. Electrodiagnosis in Pediatrics. In: Molnar GE, Alexander MA, editors. Pediatric Rehabilitation. Third ed. Philadelphia: Hanley and Belfus; 1999. p. 93-6. 2. Evans-Jones G, Kay SP, Weindling AM, Cranny G, Ward A, Bradshaw A, et al. Congenital brachial palsy: incidence, causes, and outcome in the United Kingdom and Republic of Ireland. Arch Dis Child Fetal Neonatal Ed 2003;88:185-9. 3. Murray B, Wilbourn AJ. Brachial Plexus Arch Neurol 2002;59:1186-8. 4. Donnelly V, Foran A, Murphy J, McParland P, Keane D, O'Herlihy C. Neonatal brachial plexus palsy. An unpredictable injury. Am J Obstet Gynecol 2002;187:1209-12. 5. Andersen J, Watt J, Olson J, Van Aerde J. Perinatal brachial plexus palsy. Paediatr Child Health 2006;11:111. 6. Gherman RB, Ouzounian JG, Miller DA, Kwok L, Goodwin TM. Spontaneous vaginal delivery: a risk factor for Erb's palsy? Am J Obstet Gynecol 1998;178:423-7. 7. Dunham EA. Obstetrical brachial plexus palsy. Orthop Nurs 2003;22:106-16. 8. Al-Qattan MM, el-Sayed AA, al-Kharfy TM, al-Jurayyan NA. Obstetrical brachial plexus injury in newborn babies delivered by caesarean section. J Hand Surg 1996;21:263-5. 9. Jennett RJ, Tarby TJ, Kreinick CJ. Brachial plexus palsy: an old problem revisited. Am J Obstet Gynecol 1992;166:1673-6. 10. Birchansky S, Altman N. Imaging the brachial plexus and peripheral nerves in infants and children. Semin Pediatr Neurol 2000;7:15-25. 11. Alfonso I, Alfonso DT, Papazian O. Focal upper extremity neuropathy in neonates. Semin Pediatr Neurol 2000;7:4-14. 12. Papazian O, Alfonso I, Yaylali I, Velez I, Jayakar P. Neurophysiological evaluation of children with traumatic radiculopathy, plexopathy, and peripheral neuropathy. Semin Pediatr Neurol 2000;7:26-35. 13. Carlstedt TP. Spinal nerve root injuries in brachial plexus lesions: basic science and clinical application of new surgical strategies. A review. Microsurgery 1995;16:13-6. 14. Anand P, Birch R. Restoration of sensory function and lack of long-term chronic pain syndromes after brachial plexus injury in human neonates. Brain 2002;125:113-22. 15. Ramos LE, Zell JP. Rehabilitation program for children with brachial plexus and peripheral nerve injury. Semin Pediatr Neurol 2000;7:52-7. 16. Al-Qattan MM. Self-mutilation in children with obstetric brachial plexus palsy. J Hand Surg 1999;24:547-9. 17. Marcus JR, Clarke HM. Management of obstetrical brachial plexus palsy evaluation, prognosis, and primary surgical treatment. Clin Plast Surg 2003;30:289-306. 18. Al-Qattan MM, Clarke HM, Curtis CG. The prognostic value of concurrent phrenic nerve palsy in newborn children with Erb's palsy. J Hand Surg 1998;23:225. 19. Eng GD, Koch B, Smokvina MD. Brachial plexus palsy in neonates and children. Arch Phys Med Rehabil 1978;59:458-64. 20. Bahm J, Meinecke L, Brandenbusch V, Rau G, Disselhorst-Klug C. High spatial resolution electromyography and video-assisted movement analysis in children with obstetric brachial plexus palsy. Hand Clin 2003;19:393-9. 21. Gopinath MS, Bhatia M, Mehta VS. Obstetric brachial plexus palsy: a clinical and electrophysiologic evaluation. J Assoc Physicians India 2002;50:1121-3. 22. Heise CO, Lorenzetti L, Marchese AJ, Gherpelli JL. Motor conduction studies for prognostic assessment of obstetrical plexopathy. Muscle Nerve 2004;30:451-5. 23. Van Heest AE. Congenital disorders of the hand and upper extremity. Pediatr Clin North Am 1996;43:1113-33. 24. Sadleir LG, Connolly MB. Acquired brachial-plexus neuropathy in the neonate: a rare presentation of late-onset group-B streptococcal osteomyelitis. Dev Med Child Neurol 1998;40:496-9. 25. Degliute R, Pranckevicius S, Cekanauskas E, Buinauskiene J, Kalesinskas RJ. Treatment of early and late obstetric brachial plexus palsy. Medicina (Kaunas) 2004;40:358-62 (abstract). 26. Hoeksma AF, Ter Steeg AM, Dijkstra P, Nelissen RG, Beelen A, de Jong BA. Shoulder contracture and osseous deformity in obstetrical brachial plexus injuries. J Bone Joint Surg Am 2003;85:316-22. 27. Eng GD, Binder H, Getson P. Obstetrical brachial plexus palsy (OBPP) outcome with conservative management. Muscle Nerve 1996;19:884-91. 28. DiTaranto P, Campagna L, Price AE, Grossman JA. Outcome following nonoperative treatment of brachial plexus birth injuries. J Child Neurol 2004;19:87-90. 29. Dubuisson A, Kline DG. Indications for peripheral nerve and brachial plexus surgery. Neurol Clin 1992;10:935-51. 30. Michelow BJ, Clarke HM, Curtis CG. The natural history of obstetrical brachial plexus palsy. Plast Reconstr Surg 1994;93:675-80. 31. Grossman JA. Early operative intervention for birth injuries to the brachial plexus. Semin Pediatr Neurol 2000;7:36-43. 32. Shenaq SM, Kim JY, Armenta AH, Nath RK, Cheng E, Jedrysiak A. The Surgical Treatment of Obstetric Brachial Plexus Palsy. Plast Reconstr Surg 2004;14:4-67. 33. Capek L, Clarke HM, Curtis CG. Neuroma-in-continuity resection: early outcome in obstetrical brachial plexus palsy. Plast Reconstr Surg 1998;102:1555-62. 34. Gilbert A, Amar-Khodja S. Indications and results of brachial plexus surgery in obstetrical palsy. Orthop Clin North Am 1988;19:91-105. 35. Clarke HM, Al-Qattan MM, Curtis CG. Obstetrical brachial plexus palsy: results following neurolysis of conducting neuromas-in-continuity. Plast Reconstr Surg 1996;97:974-82. 36. Strombeck C, Krumlinde-Sundholm L, Forssberg H. Functional outcome at 5 years in children with obstetrical brachial plexus palsy with and without microsurgical reconstruction. Dev Med Child Neurol 2000;42:148-57. 37. Laurent JP, Lee RT. Birth-related upper brachial plexus injuries in infants: operative and nonoperative approaches. J Child Neurol 1994;9:111-7. 38. Chuang DC, Ma HS, Wei FC. A new strategy of muscle transposition for treatment of shoulder deformity caused by obstetric brachial plexus palsy. Plast Reconstr Surg 1998;101:686-94. 39. Desiato MT, Risina B. The role of botulinum toxin in the neuro- rehabilitation of young patients with brachial plexus birth palsy. Pediatr Rehabil 2001;4:29-36. 40. Moukoko D, Ezaki M, Wilkes D, Carter P. Posterior shoulder dislocation in infants with neonatal brachial plexus palsy. J Bone Joint Surg Am 2004;86:787-93. 41. Smith NC, Rowan P, Benson LJ, Ezaki M, Carter PR. Neonatal brachial plexus palsy. Outcome of absent biceps function at three months of age. Bone Joint Surg Am 2004;86:2163-7.
| APA | Sahin N, AKI S, Muslumanoglu L (2006). Yenidoğan brakial pleksus palsisi. , 174 - 180. |
| Chicago | Sahin Nilay,AKI Semih,Muslumanoglu Lutfiye Yenidoğan brakial pleksus palsisi. (2006): 174 - 180. |
| MLA | Sahin Nilay,AKI Semih,Muslumanoglu Lutfiye Yenidoğan brakial pleksus palsisi. , 2006, ss.174 - 180. |
| AMA | Sahin N,AKI S,Muslumanoglu L Yenidoğan brakial pleksus palsisi. . 2006; 174 - 180. |
| Vancouver | Sahin N,AKI S,Muslumanoglu L Yenidoğan brakial pleksus palsisi. . 2006; 174 - 180. |
| IEEE | Sahin N,AKI S,Muslumanoglu L "Yenidoğan brakial pleksus palsisi." , ss.174 - 180, 2006. |
| ISNAD | Sahin, Nilay vd. "Yenidoğan brakial pleksus palsisi". (2006), 174-180. |
| APA | Sahin N, AKI S, Muslumanoglu L (2006). Yenidoğan brakial pleksus palsisi. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi, 52(4), 174 - 180. |
| Chicago | Sahin Nilay,AKI Semih,Muslumanoglu Lutfiye Yenidoğan brakial pleksus palsisi. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi 52, no.4 (2006): 174 - 180. |
| MLA | Sahin Nilay,AKI Semih,Muslumanoglu Lutfiye Yenidoğan brakial pleksus palsisi. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi, vol.52, no.4, 2006, ss.174 - 180. |
| AMA | Sahin N,AKI S,Muslumanoglu L Yenidoğan brakial pleksus palsisi. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi. 2006; 52(4): 174 - 180. |
| Vancouver | Sahin N,AKI S,Muslumanoglu L Yenidoğan brakial pleksus palsisi. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi. 2006; 52(4): 174 - 180. |
| IEEE | Sahin N,AKI S,Muslumanoglu L "Yenidoğan brakial pleksus palsisi." Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi, 52, ss.174 - 180, 2006. |
| ISNAD | Sahin, Nilay vd. "Yenidoğan brakial pleksus palsisi". Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi 52/4 (2006), 174-180. |
