Bilateral radial nerve compression neuropathy in the newborn

Siqueira, Mário G.; Scaramuzzi, Vinicius; Heise, Carlos Otto; Martins, Roberto S.; Sterman, Hugo

doi:10.1007/s00381-014-2362-2

Cited by 6 publications

(9 citation statements)

References 23 publications

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“…The expected mean recovery time is of 9 weeks (range in the published series: 1 2 3 5 7 8 9 1 to 40 weeks); in our case, complete recovery was achieved in 8 weeks.…”

Section: Discussionsupporting

confidence: 44%

“…Las lesiones del plexo braquial pueden tener una gran variabilidad en cuanto a la recuperación según la afectación nerviosa; sin embargo, el pronóstico de la PRNA es satisfactorio en la mayoría de los casos, con una recuperación completa en el 94% de los pacientes. 8 9 Luego, la evolución de la compresión temporal en la PRNA es más favorable que el efecto de tracción sobre el plexo braquial que ocurre en la PBO.…”

Section: Discussionunclassified

“…El tiempo medio esperable de recuperación es de 9 semanas (rango en las series publicadas: 1 2 3 5 7 8 9 1 a 40 semanas), y, en nuestro caso, se obtuvo una recuperación completa en 8 semanas.…”

Section: Discussionunclassified

“…Brachial plexus injuries can have great variability in terms of recovery, depending on nerve involvement; however, the prognosis of IRNP is satisfactory in most cases, with complete recovery in 94% of the patients. 8 9 Therefore, the evolution of the temporal compression in IRNP is more favorable than the traction effect on the brachial plexus that occurs in BPBP.…”

Section: Discussionmentioning

confidence: 99%

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Parálisis del nervio radial neonatal: Relato de un caso

Barragán

Álvarez

Palero

et al. 2022

Revista Chilena de Ortopedia y Traumatología

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ResumenLa parálisis radial neonatal aislada (PRNA) es un cuadro clínico infrecuente que debe distinguirse de otras entidades más frecuentes, como la parálisis braquial obstétrica (PBO). Debemos sospechar una PRNA en neonatos que presentan incapacidad para la extensión de muñeca y de dedos, pero mantienen intacta la función del deltoides, del bíceps, y del tríceps, así como la flexión de muñeca y de dedos. Mientras la PBO tiene una evolución clínica variable dependiendo de la extensión de la lesión neurológica, la PRNA presenta una resolución espontánea, independientemente del grado de afectación inicial. Presentamos el caso de un recién nacido con PRNA cuyo diagnóstico inicial fue de PBO.

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“…The expected mean recovery time is of 9 weeks (range in the published series: 1 2 3 5 7 8 9 1 to 40 weeks); in our case, complete recovery was achieved in 8 weeks.…”

Section: Discussionsupporting

confidence: 44%

Section: Discussionunclassified

Section: Discussionmentioning

confidence: 99%

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Parálisis del nervio radial neonatal: Relato de un caso

Barragán

Álvarez

Palero

et al. 2022

Revista Chilena de Ortopedia y Traumatología

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“…[1] Electrophysiological findings have revealed the occurrence of acute denervation within the first week after birth, which is typically observed at least 10 days after nerve injury. [12] This suggests that the injury may occur prior to delivery, [4,5] leading some scholars to refer to this condition as "Congenital Radial Nerve Palsy." The mother of our case underwent a cesarean section, but the baby still developed radial nerve palsy, which also proves that the injury occurred before delivery.…”

Section: Discussionmentioning

confidence: 99%

Radial nerve palsy in the newborn combined with congenital radial head dislocation: Case report and literature review

Li,

Nan,

Chen

et al. 2024

Medicine

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Rationale: Radial nerve palsy in the newborn and congenital radial head dislocation (CRHD) are both rare disorders, and early diagnosis is challenging. We reported a case of an infant with concurrent presence of these 2 diseases and provide a comprehensive review of the relevant literature. The purpose of the study is to share diagnostic and treatment experiences and provide potentially valuable insights. Patient concerns: A newborn has both radial nerve palsy and CRHD, characterized by limited wrist and fingers extension but normal flexion, normal shoulder and elbow movement on the affected side, characteristic skin lesions around the elbow, and an “audible click” at the radial head. The patient achieved significant improvement solely through physical therapy and observation. Diagnoses: The patient was diagnosed with radial nerve palsy in the newborn combined with CRHD. Interventions: The patient received regular physical therapy including joint function training, low-frequency pulse electrical therapy, acupuncture, paraffin treatment, as well as overnight splint immobilization. Outcomes: The child could actively extend the wrist to a neutral position and extend all fingers. Lessons: If a neonate exhibits limited extension in the wrist and fingers, but normal flexion, along with normal shoulder and elbow movement, and is accompanied by skin lesions around the elbow, there should be a high suspicion of radial nerve palsy in the newborn.

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