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Neurotmesis

Brachial plexus injuries can sometimes occur in live births. Depending on the type of injury occurring with stretch damage to the brachial plexus will determine where the injury takes place. Various lesions occur once the nerve rootlets coalesce, forming mixed nerve root. When there is a complete rupture present, the brachial plexus injury is referred to as neurotmesis.

Neurotmesis is a permanent nerve injury. When neurotmesis is believed to have been the result of negligence, a birth injury lawyer should be contacted. Not every case of neurotmesis will become a birth injury claim, however an attorney can notify you of your legal rights and options.

The changes that neurotmesis can leave within a person can be significant. Permanent loss of sensation, affecting appearance, taste, speaking, expressions, as well as other effects can lead to both emotional and psychological effects as well. The absence of recovery plans can make the prognosis of neurotmesis especially difficult for parents learning of the birth injury.

More than one nerve in the brachial plexus can be affected by neurotmesis and the injury can be consistent among the nerves or vary. It is often difficult to determine what type of injury has been suffered since many of the neurotmesis symptoms are the same. Since neurotmesis is the most severe grade of peripheral nerve injury, recovery through axonal regeneration cannot occur as it can in lesser grade nerve injuries.

There are so many variations of nerve injury that the creation of the three types was made, including axonotmesis, neuropraxia, and neurotmesis. In some instances, the extent of the nerve damage may not be fully apparent but the complete loss of motor, sensory, and autonomic function that is associated to neurotmesis will allow for difficulties in the infant's development. When nerve loss has been completely divided, a neuroma will form in the proximal stump because of axonal regeneration.

Within neurotmesis classification, further classification is needed to better diagnosis and group the extent of the injury. The Sunderland System was developed to describe five degrees of neurotmesis. For more information on neurotmesis, please contact us. Our legal team of experts will help determine if a possible claim is present.

Additional Information on Neurotmesis:

Burner Syndrome - brachial plexus injury: Recognition and Rehabilitation

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