Klumpke paralysis
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| Klumpke's paralysis Classification and external resources | |
| Brachial plexus | |
| ICD-10 | P14.1 |
| ICD-9 | 767.6 |
| DiseasesDB | 7200 |
Klumpke's paralysis or Klumpke's palsy or Dejerine-Klumpke palsy is palsy of the brachial plexus.
A form of brachial plexus injury in which there is paralysis of the muscles of the forearm and hand due to a childbirth injury to the roots of eighth cervical C8 and first thoracic T1 nerves or the lower part of the brachial plexus, a network of spinal nerves that originates in the back of the neck, extends through the axilla (armpit), and gives rise to nerves to the upper limb.[1][2]
The risk is greater when the mother is small or when the infant is of large weight.
Symptoms
Symptoms include paralysis of intrinsic hand muscles, and ulnar nerve distribution numbness. Involvement of T1 may result in Horner's syndrome. It can be contrasted to Erb-Duchenne's palsy, which affects C5 and C6.
Incidence/prevalence
Klumpke Palsy is listed as a 'rare disease' by the Office of Rare Diseases (ORD) of the National Institutes of Health (NIH). This means that Klumpke Palsy, or a subtype of Klumpke Palsy, affects less than 200,000 people in the US population.
References
- ↑ Shenaq SM, Spiegel AJ. Hand, Brachial Plexus Surgery. eMedicine.com. URL: http://www.emedicine.com/plastic/topic450.htm. Accessed on: April 13, 2007.
- ↑ Klumpke palsy. Stedman's Dictionary. URL: http://www.emedicine.com/asp/dictionary.asp?exact=Y&keyword=Klumpke+palsy. Accessed on: April 13, 2007.
See also
External links
- NIC67 at FPnotebook
- -335151040 at GPnotebook
- synd/335 at Who Named It
- Norman/Georgetown clinicalconsiderations
- Klumpke Palsy Overview at erbspalsy.net
- Diagram at pediatricneuro.com
Certain conditions originating in the perinatal period (P, 760-779) | |
|---|---|
| Maternal factors and complications | Umbilical cord prolapse - Nuchal cord - Chorioamnionitis |
| Length of gestation and fetal growth | Small for gestational age - Large for gestational age - Premature birth - Postmature birth |
| Birth trauma | Cephalhematoma - Brachial plexus lesion (Erb's palsy, Klumpke paralysis) |
| Respiratory and cardiovascular | Intrauterine hypoxia - Infant respiratory distress syndrome - Transient tachypnea of the newborn - Meconium aspiration syndrome - Pneumomediastinum - Wilson-Mikity syndrome - Bronchopulmonary dysplasia |
| Haemorrhagic and haematological | Hemorrhagic disease of newborn - Hemolytic disease of the newborn - Rh disease - Hydrops fetalis - Kernicterus - Neonatal jaundice |
| Digestive system | Ileus - Necrotizing enterocolitis |
| Integument and temperature regulation | Erythema toxicum |
| Other disorders | Periventricular leukomalacia - Congenital hypertonia - Congenital hypotonia - Congenital rubella syndrome |
Acknowledgement and Attribution Regarding Sources of Content
Some of the initial content on this page may be incorporated in part from copyleft sources in the public domain including wikis such as Wikipedia and AskDrWiki. Drug information for patients came from the The National Library of Medicine. Infectious disease information may have come from the Centers for Disease Control (CDC). Differential Diagnoses are drawn from clinicians as well as an amalgamation of 3 sources: 1.The Disease Database; 2. Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:3; 3. Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:7 .

