Sciatic Paralysis in Newborn Infants

Hudson, F. P.; McCandless, A E; O’Malley, Arthur G.

doi:10.1136/bmj.1.4647.223

Cited by 17 publications

(4 citation statements)

References 2 publications

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“…[410] The present case series also highlights the lack of significant clinical recovery beyond 15 months of follow-up; clinical recovery can occur in some cases despite there being no objective recovery in the electrophysiological parameters. The poor outcome in the present study as well as in other Indian studies can be attributed to: 1) nonfeasibility of immediate saline irrigation (a treatment measure proposed by some authors)[1415] because the majority of such injuries in India are sustained in the rural setup and 2) the failure to refer such cases for specialized procedures like neurolysis and tendon transfer techniques which can yield good results. [1617] In view of these realities, we agree with the suggestion of Ahuja et al [4] that to prevent this avoidable nerve injury the practice of intramuscular injection in the gluteal region, especially in the high-risk cases like children and the elderly, should be abandoned.…”

Section: Discussionmentioning

confidence: 55%

Clinical, electrophysiological, and prognostic study of postinjection sciatic nerve injury: An avoidable cause of loss of limb in the peripheral medical service

Wani

Saleem

Ahmed

2009

Ann Indian Acad Neurol

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Background:Post injection sciatic nerve injury is a common cause of sciatic nerve mononeuropathy in the developing world largely due to inadequate health care facilites in the rural regions.Objective:The study was conducted to analyse the pattern of this nerve lesion in clinical and electrophysiological parameters and also to study the outcome in a conservatively treated cohort.Materials and Methods:One hundred and six patients who underwent evaluation at our laboratory from 2000 to 2006 for post injection sciatic neuropathy formed the study population. Twenty two of these were followed up (mean 6.6 months) for the outcome.Results:In the cases with full data, common peroneal division of the sciatic nerve was affected alone or predominantly. On follow up, 72% cases showed little or partial recovery. Thirty two percent patients had residual trophic changes and causalgia at their last visit.Conclusion:The majority of cases of postinjection sciatic nerve injury have poor prognosis on conservative treatment.

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Section: Discussionmentioning

confidence: 55%

Clinical, electrophysiological, and prognostic study of postinjection sciatic nerve injury: An avoidable cause of loss of limb in the peripheral medical service

Wani

Saleem

Ahmed

2009

Ann Indian Acad Neurol

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“…Foot-drop in the newborn has been reported to result from a number of etiological factors, including intramuscular gluteal injection of irritant substances resulting in sciatic neuropathy (Curtiss andTucker 1960, Gilles andMatson 1970); umbilical arterial injection of vasoconstricting agents (Hudson et a/. 1950) and hypertonic glucose solutions (San Agustin et a/.…”

Section: Discussionmentioning

confidence: 99%

Peroneal Palsy Produced by Intravenous Fluid Infiltration in a Newborn

Kreusser

Volpe

1984

Develop Med Child Neuro

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SUMMARY A premature infant developed peroneal palsy as a result of infiltration of intravenous fluids, a previously unrecognized cause. Electrophysiological evidence of peroneal‐nerve injury is presented. Caution is advocated in the placement of intravenous lines in small infants. RÉSUMÉ Paralysie du SPE par perfusion intraveineuse chez un nouveau‐né Un prématuré a présenté une paralysie du SPE à la suite d'une perfusion intraveineuse. ce qui était antèrieurement une cause non reconnue. Les auteurs discutent les preuves électro‐physiologiques de la lésion du SPE et conscillent la prudence dans la mise en place des perfusions intraveineuses chez les petits nourrissons. ZUSAMMENFASSUNG Peronaeus Lähmung durch Infiltration intravenöser Flüssigkeit beim Neugeborenen Ein Frühgeborenes entwickelte nach Infiltration von intravenöser Flüssigkeit eine Peronaeus Lähmung, eine zuvor unbekannte Ursache. Die Autoren diskutieren über elektrophysiologische Hinweise auf eine Verletzung des N. peronaeus und empfehlen besondere Vorsicht beim Legen intravenöser Zugänge beim Säugling. RESUMEN Parálisis peronea producida por una infiltración de liquido endovenoso en el recién nacido Un lactante prematuro desarrolló una parálisis peronea como resultado de una infiltración de liquidos endovenosos, mecanismo que al principio no fué reconocido. Los autores discuten la evidencia de la lesion del nervio peroneo y sugieren cautela al administrar tratamientos endovenosos en niños pequeilos.

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“…Hudson and others (1950) have warned against the risk of sciatic nerve palsy following the injection of nikethamide (Coramine) into the umbilical artery instead of into the vein, during cord injection to assist resuscitation in asphyxiated infants. Their suggestion is based on the fact that in the foetus the blood supply to the lower limb is carried by the sciatic artery, the external iliac artery being a purely subsidiary blood supply.…”

Section: Anoxic Statesmentioning

confidence: 99%

The Obstetrician's Contribution in the Prevention and Management of Illness of the Newborn

Corbett

1957

Int J Clinical Practice

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Sciatic Paralysis in Newborn Infants

Cited by 17 publications

References 2 publications

Clinical, electrophysiological, and prognostic study of postinjection sciatic nerve injury: An avoidable cause of loss of limb in the peripheral medical service

Clinical, electrophysiological, and prognostic study of postinjection sciatic nerve injury: An avoidable cause of loss of limb in the peripheral medical service

Peroneal Palsy Produced by Intravenous Fluid Infiltration in a Newborn

The Obstetrician's Contribution in the Prevention and Management of Illness of the Newborn

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