Question 1

What are brachial plexus injuries?

Accepted Answer

The brachial plexus is referred to a network of nerves that transmit signals from the spinal cord to the shoulder, arm and hand. They control movement and sensation in these parts. An injury to the brachial plexus may occur when these nerves get stretched, compressed, or even ripped apart or torn away from the spinal cord in the most serious cases.
A traumatic brachial plexus injury can lead to sudden damage to these nerves, resulting in weakness, loss of feeling, or loss of movement in the shoulder, arm, or hand.There are many causes for a brachial plexus injury and damage to the nerves, but most often adults experience this when the arm is forcibly pulled or stretched. Minor brachial plexus injuries, also called stingers or burners, are common in people who engage in contact sports, such as football.
Brachial plexus injuries can also occur during birth. In the most severe brachial plexus injuries are generally caused by automobile or motorcycle accidents. This can leave the arm paralyzed, but surgical repair may help restore function. Other conditions that may affect the brachial plexus include inflammation or tumors.

Question 2

What can cause brachial plexus injuries?

Accepted Answer

Brachial plexus injury at birth generally happens in one of the two forms:

Erb&rsquo;s palsy: It is a common injury that occurs in the upper brachial plexus nerves. This may lead to numbness and loss of motion around the shoulder and inability to flex the elbow, lift the arm or bring it close to the mouth.
Klumpke&rsquo;s palsy: This a less common injury and it mainly affects the lower brachial plexus. It leads to loss of motion and/or sensation in the wrist and hand, including the inability to move fingers.

The severity of injury may vary. Some children with brachial plexus birth injuries may heal on its own, but most children undergo physical and occupational therapy to regain all or most of their normal function. Surgical intervention is also an option for those with severe injury to achieve good function. Early diagnosis and treatment have been associated with improved long-term results.

Question 3

Causes of Brachial Plexus injuries in adults:

Accepted Answer

In adults, brachial plexus injuries can be caused by a number of factors, including:

Blunt trauma, such as with fall or motor vehicle accidents.
Athletic injuries, especially those associated with contact sports like football.
Gunshot wounds in which a bullet tears through or close to the nerves.
Medical trauma that results in damage to the nerve during a surgical procedure, or damaged by an injection or the way the body is positioned during surgery.
Cancer or tumor that invades the brachial plexus.
Radiation therapy to the area that may damage the nerves.

Question 4

What do brachial plexus injuries/ stereotactic procedures mean?

Accepted Answer

Brachial plexus surgery is sometimes needed for the treatment of severe brachial plexus injury. The choice of treatment is determined by the surgeon on the basis of physical evaluation and several tests such as a CT scan or MRI scan, nerve conduction study or electromyogram tests. The options include physical therapy, tendon transfer surgery and sensory re-education.
Stereotactic procedure is a minimally invasive approach of the surgery in which three-dimensional coordination system is used to locate the targets inside the body and performing treatment, such as injection, biopsy, ablation and implantation on them. Children with a persistent problem for 3 to 6 months after birth may benefit from surgical treatment. The pediatric doctor may suggest several surgical options for treating brachial plexus birth palsy. These mainly include:

Nerve surgery: It is also known as microsurgery. In this, the surgeon repairs or reconstructs the injured nerves. This is recommended when the recovery is still inadequate 3 to 6 months after birth. The surgery involves a combination of nerve grafting and nerve transfer procedures. It is best to perform this surgery between 3 and 9 months of life and usually not considered beneficial for children beyond 1 year of age.
Nerve grafting surgery: It involves removal of the injured portion of the nerve and use nerve grafts to replace it. These nerve crafts are usually taken from the leg (sural nerves).
Nerve transfer surgery: This involves redirecting the nearby nerves from the arm or chest to repair the damaged nerves.

Question 5

What is the brachial plexus surgery cost in India?

Accepted Answer

The cost for brachial plexus surgery may start from USD 4500, but can vary for different hospitals depending on several factors. These include location, accreditation, inclusive services in the package, recommended length of stay, and room category. However, the overall expenditure is significantly lower than the cost of the same procedure in many other countries, including the USA, UK, Germany, France and many more.
This makes India a very lucrative option for patients from these countries. They can save a significant amount of money if they travel to India for the procedure, and there is no compromise on the quality of services. 
To know more or book an appointment with the best doctor for brachial plexus injury in India, share your medical reports with us at care@lyfboat.com. As an accredited platform, Lyfboat ensures safe and reliable care to each patient. Our team works round the clock to provide comprehensive medical services and support during the entire journey.

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