Pondaag Willem, van Dijk J Gert, Nelissen Rob G H H, Malessy Martijn J A
Leids Universitair Medisch Centrum, Leiden.
Ned Tijdschr Geneeskd. 2014;158:A7145.
Obstetric palsy is a birth injury that occurs when the brachial plexus is damaged by traction. In the majority of patients spontaneous recovery will occur; however, in case of incomplete spontaneous recovery early neurosurgical intervention may be indicated. We present 3 case reports in this article, as well as describing the strategy favoured in our clinic. We recommend referring patients who have incomplete spontaneous recovery at the age of 1 month. At that age a good prediction of prognosis can be made by combining neurological examination with needle electromyography (EMG) of the biceps muscle.
产瘫是一种分娩损伤,当臂丛神经因牵引而受损时发生。大多数患者会自发恢复;然而,在自发恢复不完全的情况下,可能需要早期神经外科干预。我们在本文中展示3例病例报告,并描述我们诊所所青睐的策略。我们建议转诊1个月大时自发恢复不完全的患者。在那个年龄,通过将神经学检查与肱二头肌针极肌电图(EMG)相结合,可以对预后做出良好的预测。