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Microneurosurgery for Neonatal Brachial Plexus Palsy
The Need for More Information
Steven P. Sparagana, MD;
Marybeth Ezaki, MD
Arch Neurol. 2006;63:1033-1034.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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Many child neurologists around the country recently received a mailing from members of the Miami Children's Hospital Brachial Plexus Program that included a recent review article on the management of neonatal brachial plexus palsy (NBPP).1 The article summarized the Miami center's approach to microneurosurgical treatment of selected children with NBPP, described secondary orthopedic reconstruction procedures in a subset of patients who underwent primary nerve repair, and reviewed the ancillary therapeutic options used in patients with NBPP (eg, rehabilitation techniques, neuromuscular electrical stimulation, and utilization of botulinum toxin injections for shoulder contractures). While we generally applaud this comprehensive approach to managing children with NBPP, there is ample room for healthy debate and skepticism about specific aspects of this approach.
As Grossman and colleagues note,1 "The timing and indications for surgical treatment of brachial plexus birth injuries remain somewhat controversial." There is unquestionably a need . . . [Full Text of this Article] AUTHOR INFORMATION
Author Affiliations: Department of Neurology (Dr Sparagana) and Department of Orthopedics (Dr Ezaki), Texas Scottish Rite Hospital for Children and the University of Texas Southwestern Medical Center, Dallas.
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