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Did Your Newborn Suffer Cerebral
Palsy or Another Brain Injury Before
or During Labor and Delivery?

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Our Birth Brain Injury Resource Guide

the guide

Get a FREE guide of resources available throughout Ohio to children and families of children who were born with brain injuries.

Our guide can help you build a foundation of knowledge and tools that will help you help your child
now and in the future.

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Klumpke’s Palsy – Types

Klumpke’s Palsy is a condition that is often associated with newborns and difficult births. However, it can occur in other situations as well. In fact, this condition occurs whenever the eighth cervical nerve and first thoracic nerve are damaged or the lower brachial plexus. It is a partial paralysis that affects the hand and forearm. There are four types of injuries to this region of the body.

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Avulsion occurs whenever these nerves are broken from the point of the spine. It often occurs in an accident where the arm and shoulder become stretched beyond what is normal, pulling them away from the spine. This condition is the most severe and most difficult to treat. Many times, the damage is permanent.


Ruptures are an injury which occurs when these nerves are torn at a location other than the spine. The incident is often the same where the arm is stretched at an odd angle or beyond what is considered normal, causing the nerves to tear.

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This type of brachial plexus injury happens when damage has occurred, but the nerves have healed. Even though it is now healed, it cannot transmit messages to the hand or arm. Scar tissue that forms is usually the cause of this injury, which puts pressure on the nerve.


Neuropraxia is an injury that does not involve tearing. Instead of the nerve being torn, it is stretched. However, it still suffers damage and is unable to send signals to the affected hand and arm.

Avulsion and rupturing of the lower brachial plexus may require surgery to repair, or it may lead to permanent paralysis. A doctor would perform tests to determine which type of injury the person has received so that they may begin a treatment plan.