Intrauterine quadriplegia associated with breech presentation and hyperextension of fetal head: A case report

Cattamanchi, Geetha; Tamaskar, Vasundhara; Egel, Robert T.; Singh, Rama S; Yrapsis, Nicholas S.; Patel, Vinod; Rathi, Manohar

doi:10.1016/0002-9378(81)90747-x

Cited by 14 publications

(6 citation statements)

References 2 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Approximately 5% of all breech presentations demonstrate this phenomenon. However, a small number of these infants develop upper cervical cord injury despite Caesarean delivery (Maekawa et al 1976, Cattamanchi et al 1981, Weinstein et al 1983). There is clear evidence that Caesarean section prevents spinal cord injury in these infants (Caterini et al 1975).…”

Section: Discussionmentioning

confidence: 99%

Cervical spinal cord injury following cephalic presentation and delivery by Caesarean section

Morgan¹,

Newell²

2001

Dev Med Child Neurol

View full text Add to dashboard Cite

We describe a term infant with an acute spinal cord injury following emergency Caesarean section. Foetal movements were normal on the day that the mother was admitted for postterm induction of labour. Caesarean section was performed because of foetal distress and failure to progress during labour. The initial clinical picture suggested acute birth asphyxia. The presence of a high cervical spine injury became more obvious as the clinical picture evolved over the next 7 days. A discontinuity of the cervical spinal cord at C4-5 was confirmed on MRI. Spontaneous respiration failed to develop and intensive care was withdrawn on day 15. No evidence of trauma, or a vascular, neurological, or congenital anomaly of the cervical spinal cord was found at post mortem. The absence of a similar case following cephalic presentation and Caesarean section made bereavement counselling of the parents especially difficult.

show abstract

Section: Discussionmentioning

confidence: 99%

Cervical spinal cord injury following cephalic presentation and delivery by Caesarean section

Morgan¹,

Newell²

2001

Dev Med Child Neurol

View full text Add to dashboard Cite

show abstract

“…It is well documented that both rotational forces during forceps delivery 1–3 and traction during vaginal breech delivery 4, 5 may be associated with cervical spine injury. Although vaginal breech delivery may increase the risk of cervical spine injury 5, cases have presented after Caesarean section 6–8. There is some evidence that hyperextension of the foetal neck may occur in utero in breech presentation, leading to interruption of the blood supply to the upper cervical spinal cord 9, 12.…”

Section: Discussionmentioning

confidence: 99%

Extensive cervical spinal cord lesion with late foetal presentation

Hedderly

Chalmers

et al. 2005

Acta Paediatrica

View full text Add to dashboard Cite

Neonatal cervical spinal cord injury occurring in the perinatal period is rare but has been described after both traumatic and atraumatic birth. Recently, a case of atraumatic, late third trimester, pre-labour presentation has been described. We report a second such case, but with important diagnostic differences and outcome. This case showed loss of foetal movements late in the third trimester. This was secondary to an extensive cervical lesion with no history of trauma. This emphasizes the need to consider cervical cord lesions when foetal or postnatal movements are reduced, even in the absence of trauma.

show abstract

“…It is well documented that both rotational forces during forceps delivery [1][2][3] and traction during vaginal breech delivery [4,5] may be associated with cervical spine injury. Although vaginal breech delivery may increase the risk of cervical spine injury [5], cases have presented after Caesarean section [6][7][8]. There is some evidence that hyperextension of the foetal neck may occur in utero in breech presentation, leading to interruption of the blood supply to the upper cervical spinal cord [9,12].…”

Section: Discussionmentioning

confidence: 99%

Extensive cervical spinal cord lesion with late foetal presentation

Hedderly¹,

Chalmers²,

G³

et al. 2004

Acta Paediatrica

View full text Add to dashboard Cite

Neonatal cervical spinal cord injury occurring in the perinatal period is rare but has been described after both traumatic and atraumatic birth. Recently, a case of atraumatic, late third trimester, pre-labour presentation has been described. We report a second such case, but with important diagnostic differences and outcome.Conclusion: This case showed loss of foetal movements late in the third trimester. This was secondary to an extensive cervical lesion with no history of trauma. This emphasizes the need to consider cervical cord lesions when foetal or postnatal movements are reduced, even in the absence of trauma.

show abstract

Intrauterine quadriplegia associated with breech presentation and hyperextension of fetal head: A case report

Cited by 14 publications

References 2 publications

Cervical spinal cord injury following cephalic presentation and delivery by Caesarean section

Cervical spinal cord injury following cephalic presentation and delivery by Caesarean section

Extensive cervical spinal cord lesion with late foetal presentation

Extensive cervical spinal cord lesion with late foetal presentation

Contact Info

Product

Resources

About