Bilateral Upper Limb Weakness and Stridor

Bilateral upper limb weakness and stridor.

Clinical Presentation: A 4-week-old girl had difficulty breathing, reduced feeding, and upper limb weakness. She was born at 39 weeks’ gestation by forceps after a failed ventouse. At birth, minimal resuscitation was needed, with suction and facial oxygen. Results of subsequent examinations after birth were normal. At 2 weeks of age, she developed a dry cough, which gradually worsened, and on t...

Unilateral versus bilateral upper limb training after stroke: the Upper Limb Training After Stroke clinical trial.

BACKGROUND AND PURPOSE Unilateral and bilateral training protocols for upper limb rehabilitation after stroke represent conceptually contrasting approaches with the same ultimate goal. In a randomized controlled trial, we compared the merits of modified constraint-induced movement therapy, modified bilateral arm training with rhythmic auditory cueing, and a dose-matched conventional treatment. ...

Biotin responsive limb weakness.

We report acute onset quadriplegia in a ten year old boy associated with basal ganglia lesions due to biotin deficiency. Prolonged raw egg consumption was identified as predisposing factor for biotin deficiency. Treatment with biotin resulted in remarkable recovery.

Stridor and upper airway obstruction in children.

Bilateral diaphragm weakness.

Paralysis of the diaphragm occurring as a result of damage to the phrenic nerves during thoracic and neck surgery is well recognised.' 2 It is likely that weakness, as opposed to complete paralysis, of the diaphragm could occur after less severe trauma to the phrenic nerves. We describe a patient who developed bilateral diaphragm weakness after complicated surgery on a cervical disc, with subse...