Klumpke's palsy (Dejerine-Klumpke palsy) - Medtick

Klumpke’s palsy (Dejerine-Klumpke palsy)

What is it?

Nerve damage to brachial plexus network which controls nerves and muscles in the shoulders, arms, elbows, wrists, and hands.  These nerves run from the neck down the spine.

  • The most common nerves affected are first thoracic nerve (T1) and the eighth cervical nerve (C8)  ruptured or dislocated disc.
  • Most cases of Klumpke’s palsy are a result of injuries caused by stretching (neuropraxia ), in which the nerve has suffered damage but is not torn,  the most common brachial plexus injury.
  • In many cases, a baby can recover from this type of injury within six months. Patients who suffer from neuropraxia-related Klumpke’s palsy recover on their own with 90-100% return of arm and hand function.
  • In more severe cases of brachial plexus injuries, however, the consequences may last for years or even result in lifelong disabilities of the arm, hand, or fingers. This is especially true in situations where nerve is severed from the spine and permanently damages the T1 and C8 nerves. In some cases, surgery may be used to remove scar tissue from the affected nerves to improve their function.

Cause

  • Abnormal or complicated labor and delivery that results in stretching or tearing of the nerves and muscles in the neck, the risks can be increased by:
    • Excessive maternal weight gain during pregnancy
    • Small maternal size
    • Large infant size
    • Gestational diabetes
    • Prolonged second stage of labor (lasting over one hour)
    • Infants coming out in the breech position
    • Use of assistive birthing tools, such as forceps or vacuum and/or pulling a baby extended arm above the head.
    • Stretching the arm i.e hanging of a tree or reach for a tree branch to break the fall

Symptoms

  • Constant pain in neck, pain, tingling and numbing occurs along the whole arm down to outer part of small finger, unable to squeeze or hold objects in one’s hands?
  • Weakness or lack of ability to use specific muscles of the shoulder, arm. or hand?
  • Limp or paralyzed arm?
  • Stiff joints
  • Atrophy of the muscles (muscles becoming thinner)?
  • No feeling or sensation in the affected arm or hand?
  • Drooping of the eyelids (ptosis)  and smaller pupils (miosis)on the opposite side of the face  (Horner’s syndrome)?

Birth Injury Guide

Complications /Information to beware of/General tips:

This condition may show similar symptoms to:

Please talk to your healthcare professional (i.e. Medical Doctor/Pharmacist) for further advice

Detailed Information

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