Bilateral obstetric brachial plexus paralysis: a case report

Year 2018, , 452 - 454, 04.10.2018

Canan Çelik , Fazıl Kulaklı , Asiye Mukaddes Erol Şeniz Akçay Yalbuzdağ Kadir Hacıoğlu

https://doi.org/10.18621/eurj.376344

Abstract

We aim to report a
case with bilateral obstetric brachial plexus paralysis rarely seen after
cesarean section. A 28-month-old girl was admitted to our outpatient clinic
with weakness in both upper extremities. Shoulders were adducted and
internally rotated, elbows were extended with flexion fingers. The 37-year-old mother, fetal breech presentation, premature birth and
probably traction forces applied at birth were considered among the risk
factors. With this case,
it is emphasized that obstetric brachial plexus paralysis occurs rarely
bilateral and after cesarean section. 

Keywords

Brachial plexus palsy, infant, cesarean, obstetrics

References

• [1] Zafeiriou DI, Psychogiou K. Obstetrical brachial plexus palsy. Pediatr Neurol 2008;38:235-42.
• [2] Alfonso DT. Causes of neonatal brachial plexus palsy. Bull NYU Hosp Jt Dis 2011;69:11-6.
• [3] Hardy AE. Birth injuries of the brachial plexus: incidence and prognosis. J Bone Joint Surg Br 1981;63:98-101.
• [4] Vergara-Amador E. Latissimus dorsi transposition for sequelae of obstetric palsy. Colomb Med 2010;41:248-55.
• [5] Dragu A, Horch RE, Wirth S, Ingianni G. Bilateral obstetric brachial plexus paralysis: a case report. Klin Padiatr 2009;221:57-9.
• [6] Ouzounian JG. Risk factors for neonatal brachial plexus palsy. Semin Perinatol 2014;38:219-21.
• [7] 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 Br 1996;21:263-5.
• [8] Baliarsing AS, Doi K, Hattori Y. Bilateral elbow flexion reconstruction with functioning free muscle transfer for obstetric brachial plexus palsy. J Hand Surg Br 2002;27:484-6.