Developmental apraxia arising from neonatal brachial plexus palsy

To the Editor: We read with interest the report by Brown et al.1 suggesting the presence of a developmental apraxia among children following neonatal brachial plexus injury. We have recently seen a patient whose history also suggests that apraxia may result from weakness. A 61-year-old woman with a normal birth and development was healthy until becoming ill with polio at age 4 years. She recovered the ability to walk after several years, but was left with bifacial weakness, dysphonia, bilateral hand …