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[Thorburn's posture. A sign of lesion of the cervical cord]
1Laboratoire de Neurophysiologie Clinique de l'Enfant, Hôpital Trousseau, Paris.
Archives Francaises De Pediatrie
|April 1, 1989
Insights
Unusual infant posture resulted from scapular muscle hypertonia and upper limb flaccid palsy. This presentation suggests a cervical cord lesion, similar to adult cases.
Area of Science:
- Neurology
- Pediatrics
- Spinal Cord Medicine
Background:
- Cervical spinal cord injuries can manifest in various ways.
- Understanding pediatric neurological presentations is crucial for diagnosis.
Observation:
- Two infants presented with an unusual posture.
- This posture was characterized by hypertonia of scapular muscles (C5-C6 level).
- Associated flaccid palsy was noted in other upper limb muscles.
Findings:
- The observed posture in infants mirrors an adult presentation described by Thorburn.
- This clinical picture suggests a traumatic or ischemic lesion affecting the cervical spinal cord.
Implications:
- Highlights the importance of recognizing specific postural presentations in infants.
- May aid in earlier diagnosis of cervical cord lesions in pediatric patients.
- Contributes to the understanding of spinal cord injury manifestations across different age groups.
Abstract:
In two infants hypertonia of the scapular muscles (C5-C6 level) associated with flacid palsy in other muscles of the upper limb produced an unusual posture. This one, described in adults by Thorburn, suggests a traumatic or ischaemic lesion of the cervical cord.