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Childhood Brachial Plexus Neuropathy

Childhood Brachial Plexus Neuropathy Abstract Sir.—We enjoyed reading the recent paper by Charles and Jayam-Trouth regarding brachial plexus neuropathy (BPN) in childhood (Journal 134:299-300, 1980). We also have had experience with this disorder and agree that an infectious cause seems likely, particularly in patients with CSF pleocytosis. However, we disagree with the authors' conclusions that childhood BPN has a uniformly excellent prognosis. We recently reported on two children with BPN and one of them, a girl with onset at age 1 year, has had no functional improvement over a two-year follow-up period.1 The child's left arm remains completely useless and extensive atrophy has occurred. We are also concerned about the authors' case 3, who has shown little improvement of limb weakness in the interim between the six-month and one-year examinations. Childhood BPN seems to be an uncommon disorder, and despite occasional case reports in the literature the extent of our knowledge remains limited. References 1. Bale JF Jr, Thompson JA, Petajan JH, et al: Childhood brachial plexus neuropathy . J Pediatr 95:741-742, 1979.Crossref 2. Tsairis P, Dyck PJ, Mulder DW: Natural history of brachial plexus neuorpathy . Arch Neurol 27:109-117, 1972.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Diseases of Children American Medical Association

Childhood Brachial Plexus Neuropathy

Abstract

Abstract Sir.—We enjoyed reading the recent paper by Charles and Jayam-Trouth regarding brachial plexus neuropathy (BPN) in childhood (Journal 134:299-300, 1980). We also have had experience with this disorder and agree that an infectious cause seems likely, particularly in patients with CSF pleocytosis. However, we disagree with the authors' conclusions that childhood BPN has a uniformly excellent prognosis. We recently reported on two children with BPN and one of them, a girl...
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Publisher
American Medical Association
Copyright
Copyright © 1980 American Medical Association. All Rights Reserved.
ISSN
0002-922X
DOI
10.1001/archpedi.1980.02130210079029
Publisher site
See Article on Publisher Site

Abstract

Abstract Sir.—We enjoyed reading the recent paper by Charles and Jayam-Trouth regarding brachial plexus neuropathy (BPN) in childhood (Journal 134:299-300, 1980). We also have had experience with this disorder and agree that an infectious cause seems likely, particularly in patients with CSF pleocytosis. However, we disagree with the authors' conclusions that childhood BPN has a uniformly excellent prognosis. We recently reported on two children with BPN and one of them, a girl with onset at age 1 year, has had no functional improvement over a two-year follow-up period.1 The child's left arm remains completely useless and extensive atrophy has occurred. We are also concerned about the authors' case 3, who has shown little improvement of limb weakness in the interim between the six-month and one-year examinations. Childhood BPN seems to be an uncommon disorder, and despite occasional case reports in the literature the extent of our knowledge remains limited. References 1. Bale JF Jr, Thompson JA, Petajan JH, et al: Childhood brachial plexus neuropathy . J Pediatr 95:741-742, 1979.Crossref 2. Tsairis P, Dyck PJ, Mulder DW: Natural history of brachial plexus neuorpathy . Arch Neurol 27:109-117, 1972.Crossref

Journal

American Journal of Diseases of ChildrenAmerican Medical Association

Published: Sep 1, 1980

References

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