Early electrodiagnosis in the management of neonatal brachial plexus palsy: A systematic review.
Action Potentials
/ physiology
Birth Injuries
/ diagnosis
Brachial Plexus Neuropathies
/ diagnosis
Early Diagnosis
Electrodiagnosis
/ methods
Electromyography
/ methods
Evoked Potentials, Somatosensory
/ physiology
Humans
Infant, Newborn
Neural Conduction
/ physiology
Neurosurgical Procedures
Patient Selection
Prognosis
Plastic Surgery Procedures
brachial plexus neuropathy
electrodiagnosis
electrodiagnostic testing
neonatal brachial plexus palsy
prognosis
Journal
Muscle & nerve
ISSN: 1097-4598
Titre abrégé: Muscle Nerve
Pays: United States
ID NLM: 7803146
Informations de publication
Date de publication:
05 2020
05 2020
Historique:
received:
10
11
2018
revised:
22
10
2019
accepted:
12
11
2019
pubmed:
20
11
2019
medline:
7
7
2020
entrez:
20
11
2019
Statut:
ppublish
Résumé
Neonatal brachial plexus palsy (NBPP) is a prominent form of newborn morbidity with a potentially disabling persistence. Neurosurgical intervention is indicated in select NBPP patients. Early prognostic assessment would facilitate rational selection of those infants for surgery. We conducted a systematic literature review to determine the prognostic value of early electrodiagnosis (EDx) in NBPP. We included 16 observational studies with a total sample size of 747 children. Risk of bias and quality of evidence were rated. Wide variation was found in EDx techniques, outcome algorithms, and decisionmaking. Nevertheless, the most methodologically sound studies support the use of EDx, at standardized time-frames, as a key prognostic modality for complementing clinical judgment and neuroimaging. An accurate knowledge of the underlying anatomy of the nerve injury helps to counsel families and to guide reconstructive strategy.
Types de publication
Journal Article
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
557-566Commentaires et corrections
Type : CommentIn
Type : CommentIn
Informations de copyright
© 2019 Wiley Periodicals, Inc.
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