Klumpke paralysis

From Wikipedia, the free encyclopedia

Klumpke's paralysis Classification and external resources
Brachial plexus
ICD-10	P14.1
ICD-9	767.6
DiseasesDB	7200

Klumpke's paralysis or Klumpke's palsy or Dejerine-Klumpke palsy is palsy of the brachial plexus.

A form of brachial plexus injury in which there is paralysis of the muscles of the forearm and hand due to a childbirth injury to the roots of eighth cervical C8 and first thoracic T1 nerves or the lower part of the brachial plexus, a network of spinal nerves that originates in the back of the neck, extends through the axilla (armpit), and gives rise to nerves to the upper limb.^[1][2]

The risk is greater when the mother is small or when the infant is of large weight.

The most common aetiological mechanism is caused by a traumatic vaginal delivery, necessitated by shoulder dystocia.

Contents 1 Symptoms 2 Incidence/prevalence 3 References 4 See also 5 External links

[edit] Symptoms

Symptoms include paralysis of intrinsic hand muscles, and ulnar nerve distribution numbness. Involvement of T1 may result in Horner's syndrome. It can be contrasted to Erb-Duchenne's palsy, which affects C5 and C6.

[edit] Incidence/prevalence

Klumpke Palsy is listed as a 'rare disease' by the Office of Rare Diseases (ORD) of the National Institutes of Health (NIH). This means that Klumpke Palsy, or a subtype of Klumpke Palsy, affects fewer than 200,000 people in the US population.

[edit] References

1. ^ Shenaq SM, Spiegel AJ. Hand, Brachial Plexus Surgery. eMedicine.com. URL: http://www.emedicine.com/plastic/topic450.htm. Accessed on: April 13, 2007.
2. ^ Klumpke palsy. Stedman's Dictionary. URL: http://www.emedicine.com/asp/dictionary.asp?exact=Y&keyword=Klumpke+palsy. Accessed on: April 13, 2007.

[edit] See also

• Dystocia
• Erb's Palsy

[edit] External links

• NIC67 at FPnotebook
• -335151040 at GPnotebook
• synd/335 at Who Named It
• Norman/Georgetown clinicalconsiderations
• Klumpke Palsy Overview at erbspalsy.net
• Diagram at pediatricneuro.com

v • d • e Certain conditions originating in the perinatal period (P, 760-779) Maternal factors and complications Umbilical cord prolapse - Nuchal cord - Chorioamnionitis Length of gestation and fetal growth Small for gestational age - Large for gestational age - Premature birth - Postmature birth Birth trauma Cephalhematoma - Brachial plexus lesion (Erb's palsy, Klumpke paralysis) Respiratory Intrauterine hypoxia - Infant respiratory distress syndrome - Transient tachypnea of the newborn - Meconium aspiration syndrome - pleural disease (Pneumothorax, Pneumomediastinum) - Wilson-Mikity syndrome - Bronchopulmonary dysplasia Cardiovascular Pneumopericardium - Persistent fetal circulation Haemorrhagic and haematological/ hematologic disease Haemorrhagic disease of the newborn - Hemolytic disease of the newborn - Rh disease - Hydrops fetalis - Kernicterus - Neonatal jaundice Digestive system Ileus - Necrotizing enterocolitis Integument and temperature regulation Erythema toxicum Other disorders Periventricular leukomalacia - Gray baby syndrome - muscle tone (Congenital hypertonia, Congenital hypotonia) - Congenital rubella syndrome