Klumpke paralysis
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2008-06-09T18:49:45Z
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/* 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]]