A Systematic Review of the Electrodiagnostic Assessment of Neonatal Brachial Plexus.
A Systematic Review of the Electrodiagnostic Assessment of Neonatal Brachial Plexus.
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DOI：
10.31487/j.nnb.2020.02.12
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发表时间：
2020
期刊：
影响因子：
--
通讯作者：
Singh A
中科院分区：
文献类型：
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作者：
Orozco V;Balasubramanian S;Singh A
尽管产科护理有所改善，但新生儿臂丛神经麻痹继续严重影响全世界婴儿的生活，发病率为每1 000名活产婴儿中有1至4名。虽然大多数受影响的婴儿在三个月内自行恢复，但20-30%的婴儿会出现永久性功能缺陷，严重影响他们的生活质量。臂丛神经解剖结构的复杂性导致了神经丛内多个层面不同程度的损伤和病理改变。目前的临床诊断依赖于电诊断技术，例如神经传导（即，运动和感觉）和肌电图研究。这些技术不仅有助于临床医生区分轴突和脱髓鞘病变，明显的信号形状和传导的变化，但也提供了臂丛神经损伤的情况下，预后信息。本研究对用于评估新生儿臂丛神经损伤的电诊断技术的现有文献进行了全面回顾。
Despite improvements in obstetric care, neonatal brachial plexus palsy continues to significantly impact infants’ lives worldwide, with an incidence of 1 to 4 per 1000 live births. While a majority of affected infants recover spontaneously by three months, 20-30% suffer permanent functional deficits that significantly impair their quality of life. Anatomical complexity of the brachial plexus results in varying degrees of injury and pathological changes at multiple levels within the plexus. Current clinical diagnosis relies on electrodiagnostic techniques such as nerve conduction (i.e., motor and sensory) and electromyography studies. These techniques not only aid clinicians to differentiate between axonal and demyelinating lesions, evident by changes in signal shape and conduction, but also provide prognostic information in cases of brachial plexus injuries. The presented study offers a comprehensive review of existing literature on electrodiagnostic techniques employed for assessing neonatal brachial plexus injuries.