Chong MAM, González RJL

Language: Spanish
References: 17
Page:
PDF size: 90.99 Kb.

ABSTRACT

Introduction: the obstetric brachial palsy are presented in dystocia, occurs by mechanical injury of the brachial plexus, usually unilateral and are common cause between the peripheral nervous system disorders.
Objective: to determine the functional level of the lesion, the motor roots affected, severity of injury, and changes related to electromyographic findings.
Material and Methods: we evaluated 20 patients aged 1 to 15 months, through studies of electromyography and nerve conduction in the affected limb and the limb comparatively healthy.
Results: in exploring the muscles innervated by the brachial plexus, the most frequent injury is of the upper trunk (C5-C6 roots and occasionally C7) with varying degrees of severity and neurophysiological studies are associated with functional recovery and prognosis.
Conclusions: we believe that the indication and early evaluation of the neurophysiological studies may influence the clinical standards or irreversible condition of motor sequelae in patients, when reliable studies to determine diagnosis and physical therapy and surgical.

REFERENCES

1. Mark A. Ferrante, Asa J. Wilbour. Clínicas Neurológicas de Norteamérica. Electromiografía Clínica. Aproximación electrodiagnóstico al paciente con sospecha de plexopatía braquial 2/2002: 421-48.

2. Atlas of Neuroanatomy and Neurophysiology. Selections from the Netter Collection of Medical Illustrations. Copyright ©2002 Icon Custom Communications.

3. Brown William F., Bolton Charles F. Clinical Electromyography. Radiculophaties and plexopathies. Copyright ©1987 Butterwort Publishers, 51-65.

4. Marrero Riverón L. et al. Diagnóstico y tratamiento de la parálisis braquial obstétrica. Rev Cubana Ortop Traumatol 1998; 12(1-2):28-39.

5. Dominique Schaakxs, Jörg Bahm, Bernd Sellhaus, Joachim Weis. Clinical and neuropathological study about the neurotization of the suprascapular nerve in obstetric brachial plexus lesions. J Brachial Plex Peripher Nerve Inj. 2009; 4.

6. Nodarse Fleites A, González Roig JL, Viñals Labañino C. Parálisis braquial obstétrica. Valor de la electromiografía en el diagnóstico y evaluación terapéutica. Rev Cubana Ortop Traumatol 1990; 4(2):104-15.

7. Binnie CD, Cooper R, Fowler CD, Prior PF. Clinical neurophysiology. EMG, nerve conduction and evoked potentials. 1ed. London: Hernemann LTD, 1996: 139-56.

8. Kimura J. Electrodiagnosis in diseases of nerve and muscle: Principles and Practice. Philadelphia, 1983.

9. Martínez Suárez R, Marrero Riverón LO, Monreal González R, Burguet Lago G. Valor de la electrofisiología en el estudio de las lesiones traumáticas del plexo braquial. Rev Cubana Ortop Traumatol 1996;10(1): 43-8.

10. Santos Anzorandia CM. El Abecé de la Electroneuromiografía Clínica. La Habana: Ciencia Médicas, 2000.

11. Stalberg E, Falck B. Clinical motor nerve conduction studies. Methods in Clinical Neurophysiology 1993; 4: 61-80.

12. Oh S.J. Clinical Electromiography: Nerve conduction studies. 1ed. 1984; 22-80.

13. Bashar Katirji. Electromyography in Clinical Practice: A Case Study Approach. 2nd. Elsevier, 2007; 89-109.

14. Mukund R. Thatte, Mandar V. Agashe, Aamod Rao, Chasanal M. Rathod, Rujuta Mehta. Clinical outcome of shoulder muscle transfer for shoulder deformities in obstetric brachial plexus palsy: A study of 150 cases. Indian J Plast Surg. 2011 Jan- Apr; 44(1): 21-28.

15. Jörg Bahm, Claudia Ocampo-Pavez, Catherine Disselhorst-Klug, Bernd Sellhaus, Joachim Weis. Obstetric Brachial Plexus Palsy ;Treatment Strategy, Long-Term Results, and Prognosis. Dtsch Arztebl Int. 2009 February; 106(6): 83-90.

16. Allan Belzberg. Lesión del plexo braquial. Noviembre 26, 2011. [En línea] Disponible en: http://www.hopkinsmedicine.org/

17. John Grossman, Andrew Price. Lesión traumática del plexo braquial. [Online] Available from: http://www.med.nyu.edu/neurosurgery/