Evaluation of surgical outcomes of obstetric brachial plexus birth injury: clinical and electrophysiological study

Mohasseb, Diaa; Hassan, Mohamed; Semaya, Ahmed Elsayed; Abdelghany, Hayam M; Hassan, Sarah

doi:10.4103/err.err_4_19

Cited by 1 publication

(3 citation statements)

References 21 publications

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“…Intraoperative finding showed affection of all root with increased frequency of C5 avulsions and C6 rupture. Also Mohasseb et al (13) study showed that love for all roots, specifically C5-T1, was the pathogenic pattern that was most frequently found intraoperatively. The C5 and C6 roots' affliction was the least prevalent pattern.…”

Section: Resultsmentioning

confidence: 96%

“…Al Shishtawy (15) discovered in a study of 24 infants with NBPP only three infants were left-sided and 21 were right-sided, indicating that the right side received more affection. Mohasseb et al (13) discovered additional right-sided affection.…”

Section: Resultsmentioning

confidence: 99%

“…The sooner surgical intervention is performed in NBPP, the better are the results. In patients with obstetric brachial plexus palsy (OBPP) with preganglionic lesions, neurotization results in faster functional recovery than nerve grafting reconstructive techniques (13) .…”

Section: Resultsmentioning

confidence: 99%

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Electrodiagnosis and Imaging Studies in Neonatal Brachial Plexus Palsy: Comparative study

Abdelhay¹,

Ahmad²,

Hosseny³

2023

The Egyptian Journal of Hospital Medicine

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Background: Neonatal brachial plexus palsy (NBPP) is a prevalent type of newborn morbidity with a potentially devastating persistence. Neurosurgical management is indicated in NBPP patients. The selection of those infants for surgery would be made easier by early prognostic assessment. Aim: To compare electrodiagnostics and imaging in the same patients because they have not previously been compared for precision in identifying infant brachial plexus avulsions. Patients and methods: This study looked back at 40 infants who had surgical NBPP and were treated between 2020 and 2022 in Faculty of Medicine, Zagazig University Hospitals in Plastic Surgery, Radiology, Neuro and Rheumatology Departments. To assess the performance accuracy of ancillary tests, in comparison to surgical findings, we reported electrodiagnostic testing (EDX) and imaging sensitivity, specificity and accuracy. Results:The mean age at surgery was 9.93±7.42 months. 45% were Narakas grade I-II, and 55% were Narakas grade III-IV. For all nerve roots, the overall accuracy of detecting avulsion was 55% for imaging and 65% for EDX. The overall accuracy of detecting rupture was 45% for imaging and 65% for EDX. Conclusion: Imaging and EDX are not as precise as was previously asserted. Given that each test's strengths frequently compensate for its weaknesses of the others, the ideal workup for patients with NBPP is likely to include a variety of modalities.

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Section: Resultsmentioning

confidence: 96%

Section: Resultsmentioning

confidence: 99%