Neonatal brachial plexus palsy [Yenido?an brakial pleksus palsisi]

Obstetrical brachial plexus palsy is defined a flaccid paresis of an arm at birth with an injury to the brachial plexus and a serious form of neonatal morbidity. Rate of recovery in the first two weeks is a good indicator of final outcome whereas complete recovery is unlikely if no improvement is noted in the first 2 weeks of life. High-resolution magnetic resonance imaging is the best procedure for evaluating and diagnosis of obstetrical brachial plexus palsy. Electrodiagnostic studies can provide data for timing, degree, prognosis and localization. The mainstay of treatment is physical and/or occupational therapy together with a regular home exercise program. Non-surgical procedures like electrical stimulation and botulinum toxin injections may prove effective in some brachial palsy children. A few patients may benefit from surgery in the early stages. The most important factor in treatment is a multidisciplinary approach with careful evaluation of outcome.