Paralysis Dezherin-Klyumpka

Description:

August Dezherin-Klyumpka (Augusta Déjerine-Klumpke) is called in honor. Paralysis Dezherin-Klyumpka (Klyumpke's paralysis) — a kind of partial paralysis of the lower branches of a brachial plexus, characterized by peripheral paresis or paralysis of muscles of a brush, change of sensitivity in the corresponding zone, vegetative and trophic changes, including pupillary frustration.
Humeral neuroplex — network of spinal nerves which leave from the back surface of a neck go in an axillary hollow, and give an innervation of upper extremities.

Symptoms Paralysis Dezherin-Klyumpka:

The symptomatology includes paralysis of deep muscles of a brush (muscles of an eminence of a thumb and a little finger, interosseous and worm-shaped muscles), and numbness in a zone of an innervation of an elbow nerve. Anesthesia cover the internal surface of a shoulder, forearm and brush. Involvement of the first chest nerve (T1) can lead to emergence of a syndrome of Horner with existence of a ptosis and miosis. It can be contrast to paralysis of Erba — Dyushena who arises because of defeat of fifth (C5) and sixth (C6) of cervical nerves.

Reasons Paralysis Dezherin-Klyumpka:

Paralysis Dezherin-Klyumpka is a form of paralysis which affects muscles of a forearm and a brush, and is a consequence of defeat of a brachial plexus, namely an injury of seventh cervical (C7) and first chest (T1) of nerves "to or after they join a nervous trunk of the lower extremity. The subsequent paralysis affects, preferential, deep muscles of a brush and sgibatel of a wrist and fingers". The injury of these nerves can arise in the course of childbirth. Most often paralysis arises at traumatic childbirth, is specific — dystocias of a coat hanger. The risk of a dystocia of a coat hanger increases at a narrow basin of the woman in labor and at a large fruit. The risk of an injury of the lower brachial plexus arises at draft on the taken-away hand, for example, when at the birth of the child it is pulled by a hand (the hand at the same time is extended over the head) or when falling from a tree grabs a branch (and the hand is in taken most away situation again). Damages of the lower brachial plexus should be differentiated from damages of an upper brachial plexus which can also be result of a birth trauma, however at the same time give other syndrome of weakness, so-called paralysis of Erba — Dyushena. Also Dezherin-Klyumpka can be the cause of paralysis a prelum false edges or tumors.
Nevertheless, "the brachial plexus can be also damaged by direct influence or because of a bullet wound, or at reposition of dislocation of a shoulder joint; weight of paralysis depends on weight of injury of nerves of a texture. In certain cases damage, apparently, it is rather a rejection of roots of spinal nerves from a spinal cord, than a rupture of nerve per se and if it is connected with damage of the first chest nerve (T1), then the pupil on this party can be narrowed (it depends on a damage rate of the preganglionic fibers going as a part of the first chest nerve to the pupil dilatator)". Paralysis can be a consequence of primary inflammation of roots, their primary neuritis after flu.

Treatment Paralysis Dezherin-Klyumpka:

Depends on a disease etiology.