OBSTETRICAL LUMBOSACRAL PLEXUS INJURY

被引:18
作者
FEASBY, TE [1 ]
BURTON, SR [1 ]
HAHN, AF [1 ]
机构
[1] UNIV WESTERN ONTARIO,VICTORIA HOSP,DEPT CLIN NEUROL SCI,LONDON N6A 4G5,ONTARIO,CANADA
关键词
OBSTETRIC PARALYSIS; LUMBOSACRAL PLEXUS INJURY; BIRTH TRAUMA; NERVE INJURY;
D O I
10.1002/mus.880150812
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Injuries to the lumbosacral plexus during labor and delivery have been reported in the literature for years, but have lacked electrophysiologic testing to substantiate the location of the nerve injury. We report 2 cases with comprehensive electrophysiologic testing which localizes the site of this obstetrical paralysis to the lumbosacral trunk (L4-5) and S-1 root where they join and pass over the pelvic rim. The paralysis may be mild or severe. Small maternal size, a large fetus, midforceps rotation, and fetal malposition may place the mother at risk for this nerve injury.
引用
收藏
页码:937 / 940
页数:4
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