Current Management Strategies in Neonatal Brachial Plexus Palsy

Authors

  • Rajesh Meena Department of Neurosurgery and Gamma Knife Center, All India Institute of Medical Sciences, CN Centre, New Delhi, India
  • Ramesh S. Doddamani Department of Neurosurgery and Gamma Knife Center, All India Institute of Medical Sciences, CN Centre, New Delhi, India
  • Dattaraj P. Sawarkar Department of Neurosurgery and Gamma Knife Center, All India Institute of Medical Sciences, CN Centre, New Delhi, India
  • Deepak Agrawal Department of Neurosurgery and Gamma Knife Center, All India Institute of Medical Sciences, Room No. 720, CN Centre, New Delhi 110029, India

Keywords:

Erb's palsy, neonatal brachial plexus palsy, nerve repair, preganglionic and postganglionic injury, primary reconstruction

Abstract

Neonatal brachial plexus injuries are a common type of birth injury. Although spontaneous recovery occurs in most of the cases, there is a large subset of cases in which recovery does not happen and primary or secondary surgical interventions are required. With the advancement of microsurgical techniques, the results of nerve surgery are encouraging. Good results are possible with timely surgical intervention even in severe cases. In this review article, in addition to the anatomy, etiology, and pathophysiology of neonatal brachial plexus injuries, the importance of timely surgical intervention and various primary and secondary surgical procedures are discussed in detail.

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Published

2021-07-18

Issue

Vol. 5 No. 1 (2021): Journal of Peripheral Nerve Surgery

Section

Review