View source for Klumpke paralysis

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==Overview==
'''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 [[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.

==Historical Perspective==

==Classification==

==Pathophysiology==

==Causes==
===Most Common Cause===
*Traumatic Vaginal Delivery

===Other Causes===
*Motorcycle accidents involving spinal cord injury at the level C8-T1
*Injuries resulting in traction during arm abduction, e.g., catching onto a branch to break a fall from the tree

==Differentiating {{PAGENAME}} from Other Diseases==

==Epidemiology and Demographics==
===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 less than 200,000 people in the US population.

==Risk Factors==

==Screening==

==Natural History, Complications, and Prognosis==

==Diagnosis==
===Diagnostic Criteria===

===History and Symptoms===
Symptoms include [[paralysis]] of intrinsic [[hand muscles]], and [[ulnar nerve]] distribution numbness. Involvement of [[T1]] may result in [[Horner's syndrome]]. It can be contrasted to [[Erb's_palsy|Erb-Duchenne's palsy]], which affects [[C5]] and  [[C6]].

===Physical Examination===

===Laboratory Findings===

===Imaging Findings===

===Other Diagnostic Studies===

==Treatment==
===Medical Therapy===

===Surgery===

===Prevention===

==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]

==Related Links:==
[http://www.lindaolsson.com/'''palm beach homes''']

==References==
{{reflist|2}}

{{disease-stub}}
{{Certain conditions originating in the perinatal period}}

[[Category:Neurology]]

[[pl:Niedowład Klumpke]]

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