新生儿双侧桡神经压迫性神经病
Bilateral radial nerve compression neuropathy in the newborn.
作者信息
Siqueira Mario G, Scaramuzzi Vinicius, Heise Carlos Otto, Martins Roberto S, Sterman Hugo
机构信息
Peripheral Nerve Surgery Unit, Department of Neurosurgery, University of São Paulo Medical School, São Paulo, Brazil,
出版信息
Childs Nerv Syst. 2014 Aug;30(8):1435-9. doi: 10.1007/s00381-014-2362-2. Epub 2014 Jan 21.
PURPOSE
This study aims to discuss the diagnosis and management of radial nerve compression neuropathy in the newborn.
METHODS
A personal case is presented, followed by a review and analysis of clinically similar cases identified via a PubMed search of published medical literature.
RESULTS
We report a case of a term newborn with bilateral radial neuropathy at the humerus level. Despite severe axonal involvement in the electrophysiological evaluation, the patient showed complete bilateral recovery after 3 months of follow-up.
CONCLUSIONS
Isolated radial nerve palsy is a rare event in the newborn. The condition does not require surgical treatment and usually proceeds to full and rapid spontaneous recovery.
目的
本研究旨在探讨新生儿桡神经压迫性神经病的诊断与处理。
方法
先介绍一个个案，随后对通过PubMed检索已发表医学文献所确定的临床相似病例进行回顾与分析。
结果
我们报告一例足月新生儿，双侧肱骨水平桡神经病变。尽管电生理评估显示轴索严重受累，但随访3个月后患者双侧完全恢复。
结论
孤立性桡神经麻痹在新生儿中较为罕见。该病无需手术治疗，通常可完全且迅速地自发恢复。
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