Dragu A, Horch R E, Wirth S, Ingianni G
Department of Plastic and Hand Surgery, University Hospital, University of Erlangen-Nürnberg, Erlangen, Germany.
Klin Padiatr. 2009 Mar-Apr;221(2):57-9. doi: 10.1055/s-0028-1102927. Epub 2009 Mar 4.
Whereas cases of unilateral obstetric brachial plexus paralysis have been sufficiently described and discussed in the literature cases of bilateral obstetric brachial plexus paralysis are extremely rare and so far have not been mentioned and discussed satisfactorily.
We present a case of bilateral obstetric brachial plexus paralysis in an 8-months-old white boy. We performed a neurotisation of the Nervus suprascapularis with the Nervus accessorius and an Oberlin procedure on both sides in two operative steps.
In an early follow-up 6 months after the second operation and intensive physiotherapy the little patient was able to crawl with the active help of both arms.
Bilateral obstetric brachial plexus paralysis is a very rare incidence in infants. An interdisciplinary approach including paediatrics, plastic surgeons, neurosurgeons, neurologists, radiologists and physiotherapists is essential for the success of treatment strategies in such cases.
虽然单侧产时臂丛神经麻痹的病例在文献中已有充分描述和讨论，但双侧产时臂丛神经麻痹的病例极为罕见，迄今为止尚未得到令人满意的提及和讨论。
我们报告一例8个月大白人男孩双侧产时臂丛神经麻痹的病例。我们分两个手术步骤，在两侧均采用副神经对肩胛上神经进行神经移植及奥伯林手术。
在第二次手术后6个月的早期随访以及强化物理治疗后，该小患者能够在双臂的主动帮助下爬行。
双侧产时臂丛神经麻痹在婴儿中是非常罕见的病症。对于此类病例，包括儿科医生、整形外科医生、神经外科医生、神经科医生、放射科医生和物理治疗师在内的多学科方法对于治疗策略的成功至关重要。
