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Parálisis braquial en recién nacidos - Symptom

Nombres alternativos

Parálisis de Klumpke; Parálisis de Erb-Duchenne; Parálisis de Erb

Síntomas:

Los síntomas se pueden ver inmediatamente o poco después del nacimiento y pueden abarcar:

  • El recién nacido no está moviendo la parte superior o inferior del brazo o la mano
  • Ausencia del reflejo de Moro en el lado afectado
  • Brazo flexionado (doblado) en el codo y apoyado contra el cuerpo
  • Disminución del agarre en el lado afectado

Signos y exámenes:

Un examen físico por lo regular muestra que el bebé no está moviendo la parte superior o inferior del brazo o la mano. El brazo afectado puede tambalear cuando el bebé se voltea de una lado para otro.

El reflejo de Moro está ausente en el lado con el plexo braquial o lesión del nervio.

Se hará un examen cuidadoso de la clavícula para buscar una fractura. Algunas veces, será necesario tomarle una radiografía al bebé de este hueso.

  • Reviewed last on: 12/11/2009
  • Kimberly G. Lee, MD, MSc, IBCLC, Associate Professor of Pediatrics, Division of Neonatology, Medical University of South Carolina, Charleston, SC. Review Provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Referencias

Fenichel GM. Trauma and vascular disorders. In: Fenichel GM, ed. Neonatal Neurology. 4th ed. Philadelphia, Pa: Elsevier Churchill Livingstone; 2006:chap 5.

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