Features of Dejerine-Klumpke paralysis in newborns

Dejerine-Klumpke paralysis mainly occurs as a birth injury. Birth damage is at the same time a negative mechanical effect of external factors on the internal organs of the newborn during labor with a disorder of the corresponding functions and the reaction of the newborn's body to these effects.

Possible reasons

Weighing a newborn

There are a number of specific reasons for which birth trauma can occur. For example:

  1. Disproportionate size of the newborn and birth canal.
  2. Problems arising from manual or surgical intervention (for example, cesarean section).
  3. Prolonged pregnancy.
  4. Excessively large mass of the newborn.
  5. Deviations in the development of the newborn.
  6. Abnormal fetal location.
  7. Improper use of vacuum.
  8. Small birth canal.
  9. Bone or osteo-cartilaginous bone growth of non-cancerous etiology.

Various mechanical injuries can initiate Degerin-Klumpke paralysis, including spinal cord lesions at the site of C7-T1 or the middle and lower brachial plexus nodes.

Among the adult population, Dejeri-Klumpke paralysis can also occur due to a collarbone fracture, shoulder damage, cut, stabbed and gunshot wounds.

Main symptoms

Clinical signs of Dejerine-Klumpke paralysis are not always present, but nevertheless the most common symptom of pathology is paralysis of the lower section of the humerus. At the same time, the arm without movement is located along the body, and the wrist hangs relaxed. It is noted that any body movements with the wrist and elbow joint are too difficult, but movement with the shoulder is possible.

Diagnosis of the disease

Medical diagnostics

The definition of this ailment is not difficult, given the possibility of using physical research methods and a neurological symptom complex. In exceptional situations, the doctor may issue a referral for an X-ray examination.

Disease treatment

In the case of a birth injury with Dejerine-Klumpke paralysis, the newborn is prescribed absolute rest so that they exclude natural feeding and use the probe method. The attending physician prescribes oxygen therapy, certain vitamins, glucose, substances that affect the cardiovascular apparatus, drugs that lower the excitability of the central nervous system and antihemorrhagic substances.


Drug treatment

Please note that many drugs have contraindications, and you should consult a specialist before using them!

Relanium (Diazepam) is a psychotropic drug. The child is dosed individually due to many factors: age, level of physical development, general condition and general effect of the treatment. Initially prescribed to take four times a day in the amount of about 2 milligrams. However, this dose may vary in accordance with the above reasons.

“Vikasol” (Vitami K) is an antihemorrhagic drug. Prescribed for the regulation of hemostasis. Intramuscular administration of a 1% solution in an amount of 0.5-1 milligrams for three days is prescribed.

Calcium gluconate is a blood coagulation aid. An intake is prescribed three times a day in portions of 0.5 grams for three days.

“Dibazole” (“Bedazole”) is a substance that supports the functioning of the central nervous system. The intake is prescribed twice a day for two milligrams in a course of 10 days.

"Cerebrozilin" - a tool that affects the higher mental functions. A parenteral administration is prescribed, namely intravenous injection with maintaining the proportions of 0.1-0.2 milliliters per 1 kg of patient body weight. It is recommended to take a course of 10-20 days with daily use of the drug. During the course, the attending physician notes the daily condition of the patient, and if the condition improves, prolongs the use of this drug, that is, prescribes a second course. Throughout therapy, the frequency of injections may decrease to four or nine per course.

"Lidase" ("Hyaluronidase") - enzymes that can break down acid mucopolysaccharides. For mechanical damage to nerve nodes and peripherals, subcutaneous use of the drug is prescribed at the site of the damaged nerve once every two days with a course of 12 to 15 injections. If necessary, the attending physician can repeat the course.

It is also worth noting that consultations with a pediatrician, neurologist and orthopedist will not be superfluous.

The conclusion of the doctors

The doctor's consultation

If one of the symptoms of Dejerine-Klumpke paralysis occurs, it is important to consult a doctor in a timely manner. Only after passing a full medical examination, the doctor prescribes a course of treatment. It is forbidden to engage in self-medication, as this will only aggravate the situation and harm the general state of health. Alternative methods of treatment in frequent cases cause a lot of side effects, since they have the same properties as antibiotics. After a visual examination, the doctor may not always be able to diagnose Dejerine-Klumpke paralysis. An X-ray photo will help to see the clinical picture of the patient.

Source: https://habr.com/ru/post/A12669/

All Articles