Respiratory Insufficiency Due to Perinatal Lesion of the Spinal Cord: An Inevitable Course of Events?

  • J. Uekötter
  • K. von Wild
  • Z. Hoovey
  • D. Palm
Conference paper
Part of the Advances in Neurosurgery book series (NEURO, volume 22)


Delivery techniques such as extraction and complex turnover maneuvers from the breech position are the primary cause of severe intrapartal spinal lesions [1, 3, 6, 7]. Children suffering from cervical spinal cord injury usually reveal the symptoms of spinal shock. They often present with asphyxia, mistakenly interpreted as a newborn’s respiratory distress syndrome. Depending on the kind of lesion and its location paralysis, particularly of the limbs, the trunk, or respiratory muscle system, dominate the clinical appearance. Over 5 years three patients have been seen with cervical spinal cord injuries caused by severe birth trauma. Since the course of events of all three cases was similar, one of the cases is outlined here in detail.


Spinal Cord Spinal Cord Injury Respiratory Insufficiency Cervical Spinal Cord Cranial Compute Tomography 
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Copyright information

© Springer-Verlag Berlin Heidelberg 1994

Authors and Affiliations

  • J. Uekötter
    • 1
  • K. von Wild
    • 2
  • Z. Hoovey
    • 1
  • D. Palm
    • 3
  1. 1.Department of PediatricsClemenshospitalMünsterGermany
  2. 2.Department of NeurosurgeryClemenshospitalMünsterGermany
  3. 3.Department of NeuropediatricsUniversity of MünsterMünsterGermany

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