Dejerine-klumpke syndrome (lower radicular syndrome; klumpke syndrome; klumpke paralysis)   351

General: Lesion involving the inferior roots of the brachial plexus wi 131j97b th nerves derived from the eighth cervical and first thoracic root.

Ocular: Enophthalmos; ptosis; narrowed palpebral fissure; miosis.

Clinical: Paralysis and atrophy of the small muscles of forearm and hand (flexor carpi ulnaris, flexor digitorum, interossei, thenar, hypothenar); decreased sensation or increased sensibility on the inner side of the forearm.

Dejerine-Klumpke A. Contribution a l'Etude des Paralysies Radicularies du Plexus Brachial; Paralysies Radicularies Totales; Paralysies Radicularies Inferieures; de la Participation des Filets Sympathiques Oculopupillaries dans ces Paralysies. Rev Med (Paris) 1885;5:591,739.

Geeraets WJ. Ocular Syndromes. 3rd ed. Philadelphia: Lea & Febiger, 1976.

Menkes JH. Perinatal asphyxia and trauma: perinatal injuries of the peripheral nerves, brachial plexus. In: Textbook of Child Neurology. 5th ed. Baltimore: Williams & Wilkins. 1995:66-369.

Parry CB. The management of injuries to the brachial plexus. Proc R Soc Med 1974; 67:488.