Dejerine-Klumpke Paralysis

DEJERINE-KLUMKE PARALYSIS (Dejerine-Klumpke), a symptom complex corresponding to a lesion of the lower part of the brachial plexus, specifically the eighth cervical and first thoracic nerve roots, first described by Dejerine-Klumpke in 1883. The etiology can be quite varied: trauma accompanied by stretching and rupture of the indicated nerve roots (dislocation of the shoulder, reduction of dislocation, etc.), gunshot wounds to them (especially during wartime), compression by false ribs, compression by tumors, syphilitic meningitis. Primary inflammation of the eighth cervical and first thoracic nerve roots is also possible, their primary neuritis after influenza, etc. As a component of plexitis, Dejerine-Klumpke paralysis is part of the overall picture of a general lesion of the brachial plexus. The symptomatology consists of phenomena of paralysis, disturbances of sensitivity, pupillary disorders, and vasomotor disturbances. Phenomena of degenerative paralysis, i.e., paralysis accompanied by the development of atrophy with reaction of degeneration, are observed in those muscles that are innervated by the affected nerve roots. These include primarily the small muscles of the hand, the muscles of the thenar and hypothenar, the interosseous, and

Disturbance of sensitivity in the area