Brachial plexus gunshot injury in an infant

M F Stancić1, M Potocnjak, V Micović

  • 1Department of Neurosurgery, General Hospital Pula, Zagrebacka 30, HR-52100 Pula, Croatia. marin.stancic@pu.tel.hr

Insights

This case study details an infant's gunshot brachial plexus injury. Complete motor and sensory recovery occurred due to nerve regeneration and brain plasticity.

Area of Science:

  • Pediatric Surgery
  • Neuroscience
  • Regenerative Medicine

Background:

  • Brachial plexus injuries in infants are rare and can lead to significant functional deficits.
  • Gunshot wounds are an unusual mechanism of injury for the brachial plexus, especially in pediatric cases.

Observation:

  • An infant sustained a gunshot lesion to the brachial plexus.
  • Intraoperative nerve action potential recordings guided surgical intervention, including posterior cord neurolysis and medial/lateral cord grafting.

Findings:

  • Following surgical repair and a 3-year follow-up period, the infant demonstrated complete recovery of both motor and sensory functions.
  • The recovery highlights the remarkable capacity for nerve regeneration and brain plasticity in infants.

Implications:

  • This case underscores the potential for significant functional recovery following severe brachial plexus injuries in infants.
  • It suggests that prompt surgical intervention combined with the inherent regenerative potential of the pediatric nervous system can lead to excellent outcomes.
  • Further research into pediatric nerve regeneration mechanisms could inform future treatment strategies for similar injuries.

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