Klumpke paralysis 1525536 218225870 2008-06-09T18:49:45Z 65.217.238.202 /* Incidence/prevalence */ changed "less tahn 200,000 {{Infobox_Disease | Name = Klumpke's paralysis | Image = Brachial plexus.JPG | Caption = Brachial plexus | DiseasesDB = 7200 | ICD10 = {{ICD10|P|14|1|p|10}} | ICD9 = {{ICD9|767.6}} | ICDO = | OMIM = | MedlinePlus = | eMedicineSubj = | eMedicineTopic = | MeshID = | }} '''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 [[thoracic nerves|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.<ref>Shenaq SM, Spiegel AJ. Hand, Brachial Plexus Surgery. eMedicine.com. URL: [http://www.emedicine.com/plastic/topic450.htm http://www.emedicine.com/plastic/topic450.htm]. Accessed on: April 13, 2007.</ref><ref>Klumpke palsy. Stedman's Dictionary. URL: [http://www.emedicine.com/asp/dictionary.asp?exact=Y&keyword=Klumpke+palsy http://www.emedicine.com/asp/dictionary.asp?exact=Y&keyword=Klumpke+palsy]. Accessed on: April 13, 2007.</ref> The risk is greater when the mother is small or when the infant is of large weight. The most common aetiological mechanism is caused by a traumatic vaginal delivery, necessitated by [[shoulder dystocia]]. ==Symptoms== Symptoms include [[paralysis]] of intrinsic [[hand muscles]], and [[ulnar nerve]] distribution numbness. Involvement of [[thoracic nerves|T1]] may result in [[Horner's syndrome]]. It can be contrasted to [[Erb's_palsy|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 fewer than 200,000 people in the US population. ==References== <references/> ==See also== * [[Dystocia]] * [[Erb's Palsy]] ==External links== * {{FPnotebook|NIC67}} * {{GPnotebook|-335151040}} * {{WhoNamedIt|synd|335}} * {{NormanAnatomy|clinicalconsiderations}} * [http://www.erbspalsy.net/klumpkespalsy.cfm Klumpke Palsy Overview at erbspalsy.net] * [http://pediatricneuro.com/alfonso/pg220.htm Diagram at pediatricneuro.com] {{disease-stub}} {{Certain conditions originating in the perinatal period}} [[pl:Niedowład Klumpke]]