Paralysie du plexus brachial d’origine infectieuse : à propos de quatre cas

Smida, Mounir; Jalel, C.; Soohun, T; Djebbi, Y; Nessib, Mohamed Nabil; Ghachem, Maher Ben

doi:10.1016/s0929-693x(01)00994-0

Cited by 4 publications

(2 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…While brachial palsy is a very common condition in the neonatal period, with an incidence ranging from 0.6 to 4.6 per 1,000 live births, it can also manifest, albeit more rarely, during the subsequent months [1][2][3][4][5][6][7][8][9]. Infant brachial palsy is related to stretching, conditions that exert pressure or infectious events.…”

Section: Introductionmentioning

confidence: 99%

“…aureus, Group-B Streptococcus, and E. coli. Brachial plexus palsy has been reported to occur after osteomyelitis and arthritis [1][2][3][4][5][6][7][8][9] and thus neonatologists must remain alert to the possibility that brachial palsy may disguise an infection potentially associated to severe bone impairment, namely in case of late diagnosis.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Plexus Neuropathy in Infants Secondary to Arthro-Osteomyelitis: Report of 2 Cases and Review of the Literature

Pavone

2012

Int J Clin Pediatr

View full text Add to dashboard Cite

If the brachial nerves are affected in arthro-osteomyelitis, a flaccid palsy may result. Pediatricians and pediatric orthopedists should remain alert to signs of brachial palsy due a humeral infection, as this condition must be recognized rapidly and treated adequately. The cases of two infants who showed brachial palsy secondary to arthro-osteomyelitis, one of whom was followed up for seven years, were reported. Similar cases described in the literature were reviewed. Clinical features, absence of movement, and absence of biceps and triceps reflexes, were suggestive of peripheral brachial neuropathy: EEG and NCV investigations confirmed the diagnosis of true neuropathy. Early antibiotic treatment in these children resulted in rapid clinical improvement. According to our results and those reported in the literature, in infancy brachial palsy secondary to artro-osteomyelitis is uncommon; signs or symptoms of arthroosteomyelitis are often subtle and initially underestimated; arm flaccidity secondary to arthro-osteomyelitis may result in true paralysis (no pseudo-paralysis); invasive treatment may be prevented by a prompt diagnosis and antibiotic treatment.

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Plexus Neuropathy in Infants Secondary to Arthro-Osteomyelitis: Report of 2 Cases and Review of the Literature

Pavone

2012

Int J Clin Pediatr

View full text Add to dashboard Cite

show abstract

Part 1. Injuries to the Brachial Plexus

Benjamin¹

2005

Advances in Neonatal Care

View full text Add to dashboard Cite

Upper-arm weakness (paresis) or paralysis indicates peripheral-nerve damage to the brachial plexus, a network of lower cervical and upper thoracic spinal nerves supplying the arm, forearm, and hand. Physical findings reflect muscle paralysis from spinal nerve roots. The mechanism of injury includes maternal, obstetric, and infant factors that apply traction on or compression to the anatomically vulnerable brachial plexus. Nerve regeneration can occur if nerve tissue components are preserved. Recovery is affected by multiple factors, including the type and site of injury, intervention timing, and developmental factors. The majority of injuries recover in days or months; however, residual deficits can persist. Part 1 of 2 of this article provides an overview of the neurophysiology of peripheral-nerve damage and nerve regeneration. The multifactorial etiology of brachial plexus injuries will be reviewed. Photographs and on-line video clips will enhance the description of the brachial plexus injury classifications and illustrate mechanisms of shoulder dystocia and obstetric relief maneuvers. A systematic approach to the physical examination will be explored in Part 2. Serial evaluation of motor function recovery is essential and is accomplished by appropriate referrals and follow-up. Part 2 will also describe treatment options and discuss anticipatory parent guidance.

show abstract

Brachial Plexus Palsy in Young Infants Harboring Osteomyelitis of the Humerus

Zimmermann

Curtis

2017

Pediatric Infectious Disease Journal

View full text Add to dashboard Cite

We present an infant with brachial plexus palsy who had osteomyelitis of the humerus and summarize previously reported cases. Although Staphylococcus aureus is the most common pathogen in osteomyelitis in infants, group B Streptococcus is responsible for 40% of humeral osteomyelitis. Early diagnosis is critical to prevent long-term sequalae but is hampered by infants frequently being well and afebrile at presentation.

show abstract

Paralysie du plexus brachial d’origine infectieuse : à propos de quatre cas

Cited by 4 publications

References 8 publications

Plexus Neuropathy in Infants Secondary to Arthro-Osteomyelitis: Report of 2 Cases and Review of the Literature

Plexus Neuropathy in Infants Secondary to Arthro-Osteomyelitis: Report of 2 Cases and Review of the Literature

Part 1. Injuries to the Brachial Plexus

Brachial Plexus Palsy in Young Infants Harboring Osteomyelitis of the Humerus

Contact Info

Product

Resources

About