PMID: 6106585May 1, 1980Paper

Obstetric neuropraxia in the Nigerian African

International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics
O BademosiO A Ojo

Abstract

The results of a prospective study of 34 Nigerian women with obstetric neuropraxia (puerperal paresis of the lower limbs) seen at the University College Hospital, Ibadan, are presented. The height of 29 (84%) was under 62 in (1.58 m). All were younger than 45, and 41% (14) were primiparous. Lumbosacral plexus injury with a foot-drop was the most frequent presenting feature (88%), bilateral involvement was observed in 13 patients (38%), femoral neuropathy was observed in nine (26%) and the ankle tendon jerks were absent in 35%. Spastic paraparesis was not uncommon (15%). Results of electromyographic examination and determinations of conduction velocities were consistent with proximal neuropraxia of the lumbasacral trunk in many of them (88%). The presentation of the fetus was cephalic in 97% of the women. The major predisposing factor was prolonged labor. Among the complications associated with the neuropraxia were hydroureters above the pelvic brim and vesico- and rectovaginal fistulae. Perinatal mortality was high particularly with labor of more than 18 hours. Recovery from the neuropraxia was complete for 76% of the patients. It is concluded that direct pressure on the lumbosacral plexus and nerve trunks by the presenting fet...Continue Reading

References

Apr 1, 1971·Journal of the Neurological Sciences·B O Osuntokun
Jul 27, 1968·British Medical Journal·J N CrossW B Jennett
May 1, 1958·American Journal of Obstetrics and Gynecology·N W WINKELMAN
Feb 1, 1964·American Journal of Obstetrics and Gynecology·R R MURRAY
Mar 8, 1941·British Medical Journal·J P Martin, H L Sheehan
Sep 1, 1946·American Journal of Obstetrics and Gynecology·J T COLE

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Citations

Apr 13, 2000·The Journal of Obstetrics and Gynaecology Research·H S Qublan, H al-Sayegh
Oct 30, 2004·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·I A BabarinsaA B Ajayi
Nov 1, 2002·International Anesthesiology Clinics·Lawrence C Tsen
Feb 6, 2003·Tropical Doctor·Molla Gedefaw, Kassa Darge
Sep 5, 2002·Muscle & Nerve·Bashar KatirjiDavid C Preston

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