Prognostic value of thumb pain sensation in birth brachial plexopathy / Valor prognóstico da sensibilidade dolorosa do polegar na plexopatia braquial relacionada ao parto
Arq. neuropsiquiatr
; 70(8): 590-592, Aug. 2012. ilus, tab
Article
in En
| LILACS
| ID: lil-645369
Responsible library:
BR1.1
ABSTRACT
OBJECTIVE:
To evaluate the prognostic value of absent thumb pain sensation in newborns and young infants with birth brachial plexopathy.METHODS:
We evaluated 131 patients with birth brachial plexopathy with less than two months of age. Pain sensation was evoked by thumb nail bed compression to evaluate sensory fibers of the upper trunk (C6). The patients were followed-up monthly. Patients with less than antigravity elbow flexion at six months of age were considered to have a poor outcome.RESULTS:
Thirty patients had absent thumb pain sensation, from which 26 showed a poor outcome. Sensitivity of the test was 65% and specificity was 96%.CONCLUSION:
Evaluation of thumb pain sensation should be included in the clinical assessment of infants with birth brachial plexopathy.RESUMO
OBJETIVO:
Avaliar o valor prognóstico da hipoestesia dolorosa no polegar em recém-nascidos e lactentes jovens com plexopatia braquial obstétrica.MÉTODOS:
Avaliamos 131 pacientes com plexopatia braquial obstétrica com menos de dois meses de idade. A sensação dolorosa foi provocada pela compressão do leito ungueal do polegar para avaliar fibras sensitivas do tronco superior (C6). Os pacientes foram seguidos mensalmente. Prognóstico desfavorável foi atribuído aos pacientes sem força antigravitacional para flexão do cotovelo aos seis meses de idade.RESULTADOS:
Trinta pacientes apresentaram hipoestesia dolorosa do polegar, dos quais 26 tiveram prognóstico desfavorável. A sensibilidade do teste foi de 65% e a especificidade 96%.CONCLUSÃO:
A avaliação da sensibilidade dolorosa do polegar deve ser incluída na avaliação clínica de pacientes com plexopatia braquial obstétrica.Key words
Full text:
1
Collection:
01-internacional
Database:
LILACS
Main subject:
Thumb
/
Birth Injuries
/
Brachial Plexus
/
Pain Threshold
/
Brachial Plexus Neuropathies
/
Hypesthesia
Type of study:
Diagnostic_studies
/
Prognostic_studies
Limits:
Female
/
Humans
/
Infant
/
Male
/
Newborn
Language:
En
Journal:
Arq. neuropsiquiatr
Journal subject:
NEUROLOGIA
/
PSIQUIATRIA
Year:
2012
Document type:
Article
Affiliation country:
Brazil