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Verletzungen des Plexus brachialis

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Nervenchirurgie

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Zusammenfassung

Schädigungen des Plexus brachialis treten in den Industrienationen bei 0,19–2,5 Kindern pro 1.000 Lebendgeburten auf, in Entwicklungsländern bei 3,6 Kindern pro 1.000 (Soni et al. 1985). Bei diabetischer Stoffwechsellage der Mutter steigt das Risiko auf über 10 % (Acker et al. 1988). Aus ca. 800.000 Geburten pro Jahr im deutschen Raum ergibt dies eine Anzahl von 150–2.000 Neugeborenen mit geburtstraumatischer Plexusläsion. Bei mehr als der Hälfte dieser Kinder (50–85 %) kommt es zu einer Spontanregeneration mit befriedigenden funktionellen Ergebnissen (Michelow et al. 1994). Es muss das Ziel der therapeutischen Bemühungen sein, die restlichen Kinder, die keine spontane Regeneration zeigen, rechtzeitig einer chirurgischen Therapie zuzuführen.

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Authors and Affiliations

  1. Praxisklinik am Boxgraben, Boxgraben 56, 52064, Aachen, Deutschland

    Franz Lassner & Michael Becker

  2. Neurochirurgische Klinik der Universität Ulm am Bezirkskrankenhaus Günzburg, Günzburg, Deutschland

    Gregor Antoniadis

  3. Neurochirurgische Klinik, Evangelisches Krankenhaus Oldenburg, Steinweg 13–17, 26121, Oldenburg, Deutschland

    Thomas Kretschmer

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  1. Franz Lassner
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  1. Universitätsklinik für Neurochirurgie, Evangelisches Krankenhaus - Carl von Ossietzky Universität, Oldenburg, Germany

    Thomas Kretschmer

  2. Neurochirurgische Klinik der Universität Ulm am Bezirkskrankenhaus Günzburg, Günzburg, Germany

    Gregor Antoniadis

  3. Schriesheim, Baden-Württemberg, Germany

    Hans Assmus

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Lassner, F., Becker, M., Antoniadis, G., Kretschmer, T. (2014). Verletzungen des Plexus brachialis. In: Kretschmer, T., Antoniadis, G., Assmus, H. (eds) Nervenchirurgie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-36895-0_5

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