Prevalence and inpatient treatment of obstetric brachial plexus injury in Germany between 2005 and 2018

Brain and Spine, vol. 1, pp. 100762

Abstract

31 st December 2019.Incidence rose between 2002 to 2019 from 1.8 to 5.2 per 100,000 in the general population.Peak incidence occurred in females aged 25-29 years.Neurosurgical shunt was the commonest procedure performed (6.4%), followed by neovascular venous sinus stenting (1%), bariatric surgery (0.8%) and optic nerve sheath fenestration (0.5%).The portion of the total IIH population requiring a shunt fell from 10.8% in 2002/2003 to 2.46% in 2018/2019.The portion of the total IIH population requiring shunt revision also reduced over time from 4.84% in 2002/2003 to 0.44% in 2018/2019.The mean 30 day emergency readmissions for primary shunt, revision of shunt, bariatric surgery, neurovascular stent, and optic nerve sheath fenestration was 23.1%, 23.7%, 10.6%, 10.0% and 9.74% respectively.There was a peak 30 day readmission rate following primary shunt in 2018/2019 of 41%.Recording of severe visual impairment fell to an all-time low of 1.38% in 2018/19.Conclusion: Increased awareness of the condition, specialist surgery and expert guidance may be changing admissions and surgical trends in IIH.The high 30 readmission following primary shunt surgery for IIH requires further investigation.

Authors 8

1. Tarik Alp Sargut

   Charité - Universitätsmedizin Berlin

   Affiliation as printed

   Charité - Universitätsmedizin Berlin, Department of Neurosurgery, Berlin, Germany

2. Dörte Huscher

   Charité - Universitätsmedizin Berlin

   Affiliation as printed

   Charité - Universitätsmedizin Berlin, Institute of Biometry and Clinical Epidemiology, Berlin, Germany

3. Jennifer Reinsch

   Charité - Universitätsmedizin Berlin

   Affiliation as printed

   Charité - Universitätsmedizin Berlin, Department of Neurosurgery, Berlin, Germany

4. B. Schönberg
   Affiliation as printed

   Spine Center Vertebral, Berlin, Germany

5. J. Bahm Aachen Clinic for Plastic, Hand and Burns Surgery

   Universitätsklinikum Aachen

   Affiliation as printed

   Uniklinik RWTH Aachen, Clinic for Plastic, Hand and Burns Surgery, Aachen, Germany

6. Ulrich‐Wilhelm Thomale

   Charité - Universitätsmedizin Berlin

   Affiliation as printed

   Charité - Universitätsmedizin Berlin, Department of Pediatric Neurosurgery, Berlin, Germany

7. Peter Vajkoczy

   Charité - Universitätsmedizin Berlin

   Affiliation as printed

   Charité - Universitätsmedizin Berlin, Department of Neurosurgery, Berlin, Germany

8. Nora F. Dengler

   Charité - Universitätsmedizin Berlin

   Affiliation as printed

   Charité - Universitätsmedizin Berlin, Department of Neurosurgery, Berlin, Germany