elektronický časopis
- Conspectus
- Patologie. Klinická medicína
- NML Fields
- neurologie
- neurochirurgie
- NML Publication type
- elektronické časopisy
Paréza horní končetiny jako důsledek postižení nervového svazku plexus brachialis je onemocněním, jehož incidence se pohybuje mezi 0,42–5,1 / 1000 živě rozených dětí. Samotný mechanismus porodu je jistě závažnou, nikoli však jedinou příčinou vznikající obrny. Některé obrny vznikají již intrauterinně, některé pak při operačním porodu per sectionem caesaream. Paréza plexus brachialis není benigním postižením. Pokud není toto onemocnění včas diagnostikováno a adekvátně léčeno, dítěti hrozí pozdní následky, zejména významné omezení hybnosti končetiny s funkčními důsledky.
Upper limbs palsy as a result of affliction of plexus brachialis nervous bunch is disorder, whose frequency moves among 0.42–5.1 / 1000 liveborn children. Delivery mechanism itself certain weighty, no however only cause rising paralysis. Some way paralysis rise already intrauterinne, some way then at surgical childbirth per sectionem caeseream. Brachial plexus palsy isn't benign disorder. If isn't this disorder in time diagnosed and accordingly treated, child threatens late aftermath, especially significant limitation of limbs movement with functional consequencies.
- Keywords
- mechanismus porodu,
- MeSH
- Humans MeSH
- Brachial Plexus Neuropathies diagnosis etiology therapy MeSH
- Infant, Newborn MeSH
- Paralysis, Obstetric diagnosis etiology therapy MeSH
- Check Tag
- Humans MeSH
- Infant, Newborn MeSH
- Publication type
- Review MeSH
Neuralgická amyotrofie brachiálního plexu je onemocnění, které začíná akutními bolestmi nejčastěji v oblasti ramene, krční páteře nebo paže a posléze se rozvíjí i motorický deficit. Příčinou bolestí je zde postižení různých oblastí brachiálního plexu a jedná se tedy o periferní neuropatickou bolest. Zaměřili jsme se na 5 pacientů vyšetřovaných v letech 2003 – 2006, u kterých byla potvrzena uvedená diagnóza. U těchto pacientů jsme se soustředili na počáteční období onemocnění, kdy dominují různé bolestivé syndromy. Zjišťovali jsme jaký byl: 1. interval mezi vznikem bolestí a rozvojem motorického deficitu a doba trvání bolestí, 2. první diagnostický závěr, 3. lokalizace bolesti, 4. charakter svalového oslabení a elektromyografický nález. Bolesti byly ve všech případech zprvu chybně považovány za příznak postižení hybné soustavy, a to buď afekci ramenního kloubu nebo vertebrogenní poruchu. Potvrdilo se, že bolest je u počínajícího onemocnění do jisté míry specifická a tato skutečnost může diferenciální diagnostiku v počátečním období usnadnit.
Neuralgic amyotrophy of brachial plexus is a disease beginning with acute pains, which are most often in the region of shoulder, cervical spine or arm and subsequently develop in a motor deficit. The pain is caused by affection of various parts of brachial plexus and peripheral neuropathic pain is therefore present the case. The authors concentrated to five patients examined in the years 2003 – 2006, where this diagnosis was established. In these patients they concentrated to the beginning period of the disease, the various pain syndromes predominated. The following items were examined: 1. interval between the origin of the pain and the evolution of the motor deficit and duration of pain, 2. the first diagnostic conclusion, 3. localization of the pain, 4. character of muscular weakness and electromyographic finding. The pains were in all cases wrongly considered as a symptom of involvement of locomotor apparatus, either affected shoulder joint or a vertebrogenic disorder. It has become obvious that pain is rather specific at the beginning of the disease and it can make differential diagnostics in the beginning period easier.
- MeSH
- Pain MeSH
- Brachial Plexus Neuropathies MeSH
- Brachial Plexus pathology MeSH
- In Vitro Techniques MeSH
- Check Tag
- Female MeSH
- Publication type
- Case Reports MeSH
PURPOSE OF THE STUDY: Brachial plexus palsy is often accompanied by other injuries. Scapular fracture is thought to be a marker of polytrauma severity. The aim of this study was to evaluate associated injuries in patients with serious brachial plexus involvement and to determine whether there is a relationship between scapular fracture and severity of polytrauma in such patients. MATERIAL AND METHODS: We retrospectively evaluated 84 surgical patients who underwent brachial plexus reconstruction at our department between 2008 and 2011. In all of them, data on scapular fracture and major associated injuries were recorded. RESULTS: Of the 84 patients, 22 (26.2%) had a scapular fracture. Of 61 patients with upper plexus palsy only 10 (16.4%) suffered a scapular fracture while of 23 patients with more severe plexus lesions 12 (52.2%, p<0.001) had fractured scapula. The ISS score in the patients with fractured scapula was significantly higher (51.8, SD=11, range=18-75, p<0.001). The patients with scapular fractures also had a significantly higher number of rib, clavicle, upper and lower limb fractures, and injuries to the thoracic organs and the head. CONCLUSIONS: Both scapular fracture and serious brachial plexus injury are usually associated with other severe injuries. They occur due to high-energy trauma. Generally, patients who sustain scapular fractures and upper limb impairment in motorcycle and car crashes are at high risk of other associated injuries and more severe polytrauma.
- MeSH
- Adult MeSH
- Fractures, Bone epidemiology MeSH
- Incidence MeSH
- Causality MeSH
- Clavicle injuries MeSH
- Comorbidity MeSH
- Middle Aged MeSH
- Humans MeSH
- Scapula injuries MeSH
- Adolescent MeSH
- Young Adult MeSH
- Brachial Plexus Neuropathies epidemiology surgery MeSH
- Brachial Plexus surgery MeSH
- Multiple Trauma epidemiology MeSH
- Arm Injuries epidemiology MeSH
- Retrospective Studies MeSH
- Aged MeSH
- Injury Severity Score MeSH
- Check Tag
- Adult MeSH
- Middle Aged MeSH
- Humans MeSH
- Adolescent MeSH
- Young Adult MeSH
- Male MeSH
- Aged MeSH
- Female MeSH
- Publication type
- English Abstract MeSH
- Journal Article MeSH
- MeSH
- Adult MeSH
- Humans MeSH
- Elbow Joint physiopathology rehabilitation MeSH
- Brachial Plexus surgery injuries MeSH
- Shoulder Joint physiopathology rehabilitation MeSH
- Muscles transplantation MeSH
- Transplantation methods MeSH
- Check Tag
- Adult MeSH
- Humans MeSH
- Male MeSH
- Publication type
- Case Reports MeSH
- MeSH
- Adult MeSH
- Electromyography MeSH
- Brachial Plexus injuries MeSH
- Prognosis MeSH
- Rehabilitation MeSH
- Check Tag
- Adult MeSH
Článek popisuje souvislosti s poraněním plexus brachialis u psů, především s ohledem na prognózu. Závěrečná prognóza by měla být vyslovena až 6 týdnů po poranění. Popsána je možnost rehabilitace po poranění. Uveden je příklad poranění plexus brachialis u psa.
The article describes the connections with brachial plexus injuries in dogs, especially with regard to the prognosis. The final prognosis should be given up to 6 weeks after the injury. The possibility of rehabilitation after an injury is described. An example of brachial plexus injury in a dog is presented.
- MeSH
- Dog Diseases MeSH
- Brachial Plexus * injuries MeSH
- Dogs MeSH
- Rehabilitation methods MeSH
- Animals MeSH
- Check Tag
- Dogs MeSH
- Animals MeSH
- Publication type
- Case Reports MeSH
