Bilateral obstetric brachial plexus paralysis: a case report

Area of Science:

• Pediatric Surgery
• Neurology
• Rehabilitation Medicine

Background:

• Obstetric brachial plexus paralysis (OBPP) is typically unilateral.
• Bilateral OBPP is exceedingly rare, with limited literature.
• This case addresses the rarity and management of bilateral OBPP.

Observation:

• An 8-month-old boy presented with bilateral OBPP.
• The patient underwent bilateral neurotization of the suprascapular nerve with the accessory nerve and bilateral Oberlin procedures.
• Treatment involved two surgical steps followed by intensive physiotherapy.

Findings:

• Early follow-up at 6 months post-surgery showed functional improvement.
• The infant demonstrated the ability to crawl with active bilateral arm support.
• Successful functional recovery was achieved through surgical and rehabilitative interventions.

Implications:

• Bilateral OBPP requires a multidisciplinary team approach for optimal outcomes.
• Early surgical intervention and comprehensive physiotherapy are crucial for managing this rare condition.
• This case highlights potential treatment strategies and the importance of collaborative care in severe OBPP.