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Early electrodiagnosis in the management of neonatal brachial plexus palsy : a systematic review

Ruth Van der Looven (UGent) , Laura Le Roy (UGent) , Emma Tanghe, Christine Van den Broeck (UGent) , Martine De Muynck (UGent) , Guy Vingerhoets (UGent) , Matthew Pitt and Guy Vanderstraeten (UGent)
(2020) MUSCLE & NERVE. 61(5). p.557-566
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Abstract
Neonatal brachial plexus palsy (NBPP) is a prominent form of newborn morbidity with a potentially disabling persistence. Neurosurgical intervention is indicated in select NBPP patients. Early prognostic assessment would facilitate rational selection of those infants for surgery. We conducted a systematic literature review to determine the prognostic value of early electrodiagnosis (EDx) in NBPP. We included 16 observational studies with a total sample size of 747 children. Risk of bias and quality of evidence were rated. Wide variation was found in EDx techniques, outcome algorithms, and decisionmaking. Nevertheless, the most methodologically sound studies support the use of EDx, at standardized time-frames, as a key prognostic modality for complementing clinical judgment and neuroimaging. An accurate knowledge of the underlying anatomy of the nerve injury helps to counsel families and to guide reconstructive strategy.
Keywords
brachial plexus neuropathy, electrodiagnosis, electrodiagnostic testing, neonatal brachial plexus palsy, prognosis, NEUROMA-IN-CONTINUITY, NATURAL-HISTORY, BIRTH PALSY, NEUROPHYSIOLOGICAL PREDICTION, OBSTETRIC LESIONS, ROOT AVULSION, NERVE ACTION, ELECTROMYOGRAPHY, INJURIES, SURGERY

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MLA
Van der Looven, Ruth, et al. “Early Electrodiagnosis in the Management of Neonatal Brachial Plexus Palsy : A Systematic Review.” MUSCLE & NERVE, vol. 61, no. 5, 2020, pp. 557–66, doi:10.1002/mus.26762.
APA
Van der Looven, R., Le Roy, L., Tanghe, E., Van den Broeck, C., De Muynck, M., Vingerhoets, G., … Vanderstraeten, G. (2020). Early electrodiagnosis in the management of neonatal brachial plexus palsy : a systematic review. MUSCLE & NERVE, 61(5), 557–566. https://doi.org/10.1002/mus.26762
Chicago author-date
Van der Looven, Ruth, Laura Le Roy, Emma Tanghe, Christine Van den Broeck, Martine De Muynck, Guy Vingerhoets, Matthew Pitt, and Guy Vanderstraeten. 2020. “Early Electrodiagnosis in the Management of Neonatal Brachial Plexus Palsy : A Systematic Review.” MUSCLE & NERVE 61 (5): 557–66. https://doi.org/10.1002/mus.26762.
Chicago author-date (all authors)
Van der Looven, Ruth, Laura Le Roy, Emma Tanghe, Christine Van den Broeck, Martine De Muynck, Guy Vingerhoets, Matthew Pitt, and Guy Vanderstraeten. 2020. “Early Electrodiagnosis in the Management of Neonatal Brachial Plexus Palsy : A Systematic Review.” MUSCLE & NERVE 61 (5): 557–566. doi:10.1002/mus.26762.
Vancouver
1.
Van der Looven R, Le Roy L, Tanghe E, Van den Broeck C, De Muynck M, Vingerhoets G, et al. Early electrodiagnosis in the management of neonatal brachial plexus palsy : a systematic review. MUSCLE & NERVE. 2020;61(5):557–66.
IEEE
[1]
R. Van der Looven et al., “Early electrodiagnosis in the management of neonatal brachial plexus palsy : a systematic review,” MUSCLE & NERVE, vol. 61, no. 5, pp. 557–566, 2020.
@article{8636340,
  abstract     = {{Neonatal brachial plexus palsy (NBPP) is a prominent form of newborn morbidity with a potentially disabling persistence. Neurosurgical intervention is indicated in select NBPP patients. Early prognostic assessment would facilitate rational selection of those infants for surgery. We conducted a systematic literature review to determine the prognostic value of early electrodiagnosis (EDx) in NBPP. We included 16 observational studies with a total sample size of 747 children. Risk of bias and quality of evidence were rated. Wide variation was found in EDx techniques, outcome algorithms, and decisionmaking. Nevertheless, the most methodologically sound studies support the use of EDx, at standardized time-frames, as a key prognostic modality for complementing clinical judgment and neuroimaging. An accurate knowledge of the underlying anatomy of the nerve injury helps to counsel families and to guide reconstructive strategy.}},
  author       = {{Van der Looven, Ruth and Le Roy, Laura and Tanghe, Emma and Van den Broeck, Christine and De Muynck, Martine and Vingerhoets, Guy and Pitt, Matthew and Vanderstraeten, Guy}},
  issn         = {{0148-639X}},
  journal      = {{MUSCLE & NERVE}},
  keywords     = {{brachial plexus neuropathy,electrodiagnosis,electrodiagnostic testing,neonatal brachial plexus palsy,prognosis,NEUROMA-IN-CONTINUITY,NATURAL-HISTORY,BIRTH PALSY,NEUROPHYSIOLOGICAL PREDICTION,OBSTETRIC LESIONS,ROOT AVULSION,NERVE ACTION,ELECTROMYOGRAPHY,INJURIES,SURGERY}},
  language     = {{eng}},
  number       = {{5}},
  pages        = {{557--566}},
  title        = {{Early electrodiagnosis in the management of neonatal brachial plexus palsy : a systematic review}},
  url          = {{http://doi.org/10.1002/mus.26762}},
  volume       = {{61}},
  year         = {{2020}},
}
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