NCBI Bookshelf. Justin Merryman ; Matthew Varacallo. Authors Justin Merryman ; Matthew Varacallo 1. Klumpke palsy, named after Augusta Dejerine-Klumpke, is a neuropathy involving the lower brachial plexus.
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Klumpke's palsy is also sometimes referred to as Dejerine-Klumpke palsy. It is caused by a birth injury to the neck and shoulder due to a difficult vaginal delivery, tumor of the lung or shoulder, or trauma to the arm and shoulder. The nerves may be stretched or torn, causing weakness, pain or numbness.
You will appreciate timely appointments and a professional, friendly atmosphere where we take time to listen to your concerns. In every way, we work to demonstrate the utmost in excellent care to those who trust us with their health. We then use advanced diagnostic procedures and technology to effectively diagnose, inform treatment and carefully monitor the condition. Diagnostic procedures may include:.
Electromyogram EMG : This test measures the electrical activity of a muscle in response to stimulation, as well as the nature and speed of the conduction of electrical impulses along a nerve. It can confirm the presence of nerve damage and assess its severity. Imaging studies: The physician may order an X-ray, ultrasound, MRI or other imaging test to check for damage to bones and joints of the neck and shoulder. Nerve conduction studies: These tests measure how well individual nerves can send an electrical signal from the spinal cord to the muscles.
A physician places a stimulating electrode directly over the nerve to be studied, and a recording electrode over the muscles supplied by that nerve. The shock-emitting electrode sends repeated, brief electrical pulses to the nerve, and the recording electrode records the time it takes for the muscle to contract in response to the electrical pulse.
It usually occurs during vaginal deliveries, especially in cases where the mother is small and the baby has a large birth weight. Large birth weight in a baby can occur due to poorly managed maternal diabetes or gestational diabetes. If done too roughly, this can injure the lower brachial plexus.
It can also be caused by trauma to the arm and shoulder, such as force to the arm or shoulder when catching oneself during a fall. In more severe cases, in which there is tearing of the nerve s — especially away from the spine — symptoms may last for years or children may experience lifelong disabilities of the arm, hand or fingers.
This may include:. Rarely, patients will experience lifelong disabilities of the arm, hand or fingers. Give Research Contact.
Klumpke's Palsy. Gestational diabetes : If blood sugar is not well-managed, babies may be born larger, making delivery more difficult. Your physician or physical therapist will show you which therapeutic and range-of-motion exercises you must perform to promote healing and prevent joint stiffening in the elbow, wrist and hand.
Nerve transfer: In some cases, a surgeon can transfer a nerve from a different muscle to restore function in the nerve. Recovery: Because nerves recover very slowly, it may take months to years for nerves repaired at the neck to reach the muscles of the lower arm and hand.
Obstetric Brachial Plexopathy (Erb's, Klumpke's Palsy)
Klumpke's paralysis is a variety of partial palsy of the lower roots of the brachial plexus. Involvement of T1 may result in Horner's syndrome , with ptosis , and miosis. Weakness or lack of ability to use specific muscles of the shoulder or arm. Klumpke's paralysis is a form of paralysis involving the muscles of the forearm and hand, resulting from a brachial plexus injury in which the eighth cervical C8 and first thoracic T1 nerves are injured either before or after they have joined to form the lower trunk.
This article has been fact checked by a Board Certified Pediatrician. Sources of information for the article are listed at the bottom. For any content issues please Contact Us. It can occur in newborns who suffered nerve damage because of complications during labor and delivery.
Klumpke's Palsy (Klumpe's Paralysis)
Most infants recover from the stretch injuries neuropraxia. After 4 months, additional treatment options may include: . Support and advocacy groups can help you connect with other patients and families, and they can provide valuable services. Many develop patient-centered information and are the driving force behind research for better treatments and possible cures.