A practical approach of the pediatric patient with obstetrical brachial plexus palsy starting from 28 cases – Single centre experience over 6 years
Authors:   Alexandru Obregia Clinical Phychiatric Hospital, Department of Pediatric Neurology, Bucharest, Romania, Dica Alice , Barca Diana ,   Alexandru Obregia Clinical Phychiatric Hospital, Department of Pediatric Neurology, Bucharest, Romania  Carol Davila Univesity of Medicine and Pharmacy, Department  of Pediatric Neurology, Bucharest, Romania, Tarta-Arsene Oana ,   Alexandru Obregia Clinical Phychiatric Hospital, Department of Pediatric Neurology, Bucharest, Romania  Carol Davila Univesity of Medicine and Pharmacy, Department  of Pediatric Neurology, Bucharest, Romania, Minciu Ioana ,   Alexandru Obregia Clinical Phychiatric Hospital, Department of Pediatric Neurology, Bucharest, Romania  Carol Davila Univesity of Medicine and Pharmacy, Department  of Pediatric Neurology, Bucharest, Romania, Iliescu Catrinel ,   Alexandru Obregia Clinical Phychiatric Hospital, Department of Pediatric Neurology, Bucharest, Romania  Carol Davila Univesity of Medicine and Pharmacy, Department  of Pediatric Neurology, Bucharest, Romania, Burloiu Carmen ,   Alexandru Obregia Clinical Phychiatric Hospital, Department of Pediatric Neurology, Bucharest, Romania, Butoianu Niculina ,   Alexandru Obregia Clinical Phychiatric Hospital, Department of Pediatric Neurology, Bucharest, Romania  Carol Davila Univesity of Medicine and Pharmacy, Department  of Pediatric Neurology, Bucharest, Romania, Budisteanu Magdalena ,   Alexandru Obregia Clinical Phychiatric Hospital, Department of  Pediatric Neurology, Bucharest, Romania  Victor Babes Institute of Pathology, Medical Genetic  Laboratory, Bucharest, Romania  Titu Maiorescu University, Faculty of Medicine, Department of  Genetics, Bucharest, Romania, Pomeran Cristina ,   Alexandru Obregia Clinical Phychiatric Hospital, Department of Pediatric Neurology, Bucharest, Romania  Carol Davila Univesity of Medicine and Pharmacy, Department  of Pediatric Neurology, Bucharest, Romania, Sandu Carmen ,   Alexandru Obregia Clinical Phychiatric Hospital, Department of Pediatric Neurology, Bucharest, Romania  Carol Davila Univesity of Medicine and Pharmacy, Department  of Pediatric Neurology, Bucharest, Romania, Robanescu Ligia ,   Alexandru Obregia Clinical Phychiatric Hospital, Department of Pediatric Neurology, Bucharest, Romania, Anghelescu Cristina ,   Alexandru Obregia Clinical Phychiatric Hospital, Department of Pediatric Neurology, Bucharest, Romania, Zamfirescu Dragos ,   Floreasca Emergency Hospital, Department of General Surgery, Bucharest, Romania, Musat Gabriela ,   Saint Mary Clinical Hospital, Department of Otolaryngology, Bucharest, Romania  Carol Davila University of Medicine and Pharmacy, Department of Otolaryngology, Bucharest, Romania, Musat Ovidiu ,   Carol Davila Univeristy Central Emergency Military Hospital Bucharest, Craiu Dana ,   Alexandru Obregia Clinical Phychiatric Hospital, Department of Pediatric Neurology, Bucharest, Romania  Carol Davila Univesity of Medicine and Pharmacy, Department  of Pediatric Neurology, Bucharest, Romania
Published: April 2022

Neonatal brachial plexus palsy is a complication that occurs during difficult vaginal delivery or due to unexplained causes, probably prenatal in which some or all brachial plexus branches are affected (avulsion, rupture, stretching). A cohort of 28 cases evaluated in our clinic in 6 years and 6 months (Jan 2007-July 2013) from the clinical and paraclinical point of view, treatment, and the outcome were analyzed. 17 (60.7%) of the patients were boys and 11 (39.2%) were girls. 14 (50%) had right brachial plexus palsy, 12 (42.8%) had left brachial plexus palsy and 2 (7.1%) had bilateral involvement. 5 (17.8%) of them had reconstructive surgery done. 11 (39.2%) had good to complete recovery. The purpose of this paper is to underline the importance of early presentation for neurological evaluation and the beginning of physical therapy.