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)

Abstract

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.

Keywords

Pneumonia Respiration Dura 

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References

  1. 1.
    Bucher HU, Bolthauser E, Friedrich J, Isler W (1979) Birth injury to the spinal cord. Helv Paediatr Acta 34:517PubMedGoogle Scholar
  2. 2.
    Bundscherer F, Freudl K, Lindner R, Richter K (1993) Sonographische Diagnostik einer geburtstraumatischen Halsmarkläsion. Monatsschr Kinderheilkd 141:581PubMedGoogle Scholar
  3. 3.
    Crothers B, Putnam MC (1927) Obstetrical injuries on spinal cord. Medicine (Baltimore) 6:41Google Scholar
  4. 4.
    Hoovey Z, Uekötter J, von Wild K (1990) Zur Diagnostik und Therapie chronisch rezidivierender Ateminsuffizienz infolge geburtstraumatischer Halsmarkzerreissung. In: Lütsching (ed) Aktuelle Neuropädiatrie. Springer, Berlin Heidelberg New York, p 418Google Scholar
  5. 5.
    Koch BM, Eng GM (1979) Neonatal spinal cord injury. Arch Phys Ned Rehabil 60:378Google Scholar
  6. 6.
    Stern WE, RAnd RW (1959) Birth injuries to the spinal cord. A report of 2 cases an review of the literature. Am J Obstet Gynecol 78:498PubMedGoogle Scholar
  7. 7.
    Towbin A (1969) Latent spinal cord on brain stem injury in newborn infants. Dev Med Child Neurolog 11:54CrossRefGoogle Scholar

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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