Child Birth Injury:

A mother reports that her newborn who was born two days ago, is not moving his right hand and his right eyelid droops. On examination, you confirm the findings of the mother and elicit miosis in the right eye. Pregnancy and delivery was uncomplicated. Which of the following is the most likely diagnosis?

A) Phrenic nerve paralysis
B) Facial nerve paralysis
C) Erb-Duchenne palsy
D) Clavicular fracture
E) Klumpke paralysis

[expand title=”CLICK HERE VIEW CORRECT ANSWER:”][sociallocker]Correct answer is E. Klumpke’s paralysis is a brachial palsy that occurs in newborns following excessive traction on the arm. It consists of hand paralysis and Ipsilateral Horner’s syndrome (ptosis & miosis), and is secondary to injury to seventh and eight cervical nerves and first thoracic nerve.[/sociallocker][/expand]