Klumpke palsy

Klumpke Palsy is a form of brachial plexus injury that affects the lower nerves of the brachial plexus, a network of nerves that sends signals from the spine to the shoulder, arm, and hand. It is named after Augusta Dejerine-Klumpke, a pioneering French neurologist who first described the condition.

Etiology[edit | edit source]

Klumpke Palsy is typically caused by a birth injury, particularly during a difficult delivery. It can occur if the baby's arm is pulled or stretched during birth, causing damage to the lower brachial plexus nerves. Other causes can include trauma, tumors, or inflammation.

Symptoms[edit | edit source]

The main symptoms of Klumpke Palsy include weakness or paralysis in the hand and wrist, and sometimes the forearm. This can result in a claw-like hand deformity, known as Klumpke's paralysis. Other symptoms can include numbness, pain, and decreased grip strength.

Diagnosis[edit | edit source]

Diagnosis of Klumpke Palsy is usually based on physical examination and the patient's symptoms. Imaging tests such as MRI or CT scan may be used to confirm the diagnosis and assess the extent of the nerve damage.

Treatment[edit | edit source]

Treatment for Klumpke Palsy depends on the severity of the nerve damage. Mild cases may improve with physical therapy and occupational therapy. Severe cases may require surgery to repair the damaged nerves. Pain management is also an important part of treatment.

Prognosis[edit | edit source]

The prognosis for Klumpke Palsy varies depending on the severity of the nerve damage. Some patients may recover fully with treatment, while others may have permanent disability.