Restoration of prehensile function for motor paralysis in Hopkins syndrome: case report.
Hopkins syndrome is a rare cause of poliomyelitis-like paralysis affecting 1 or more extremities after an acute attack of asthma. The exact etiology of Hopkins syndrome is not known. A 4-year-old girl developed acute asthma followed by complete flaccid paralysis of the left upper extremity. She underwent staged reconstruction using the double free muscle transfer technique. Rigorous postoperative physiotherapy was carried out to achieve a good functional outcome. At recent follow-up, 27 months after the first procedure, the patient was able to effectively use the reconstructed hand for most daily activities. She had good control and could perform 2-handed activities. The selection of a suitable operative treatment and suitable donor nerves is critical, and there are no clear guidelines in the literature. The double free muscle transfer can be effectively employed in similar cases to restore grasping function.
Department of Orthopaedic Surgery, Ogori Daiichi General Hospital, Ogori, Yamaguchi, Japan.
Nilesh G
NG
Satbhai
Department of Orthopaedic Surgery, Ogori Daiichi General Hospital, Ogori, Yamaguchi, Japan. Electronic address: doimicro@saikyo.or.jp.
Kazuteru
K
Doi
Department of Orthopaedic Surgery, Ogori Daiichi General Hospital, Ogori, Yamaguchi, Japan.
Yasunori
Y
Hattori
Department of Orthopaedic Surgery, Ogori Daiichi General Hospital, Ogori, Yamaguchi, Japan.
Sotetsu
S
Sakamoto
D000870:Anterior Horn Cells / Q000502:physiology; D001132:Arm / Q000294:innervation*; D001249:Asthma / Q000150:complications* / Q000503:physiopathology*; D020968:Brachial Plexus Neuritis / Q000503:physiopathology* / Q000601:surgery*; D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D006225:Hand / Q000294:innervation*; D018737:Hand Strength / Q000502:physiology; D006801:Humans; D008279:Magnetic Resonance Imaging; D018482:Muscle, Skeletal / Q000637:transplantation*; D016067:Nerve Transfer / Q000379:methods*; D009460:Neurologic Examination; D010264:Paraplegia / Q000503:physiopathology* / Q000601:surgery*; D026741:Physical Therapy Modalities; D011115:Polyneuropathies / Q000503:physiopathology* / Q000601:surgery*; D011182:Postoperative Care; D011597:Psychomotor Performance / Q000502:physiology*; D020127:Recovery of Function; D013577:Syndrome
Brachial plexus palsy; Hopkins syndrome; double free muscle transfer; poliomyelitis-like paralysis; postasthmatic amyotrophy