Background: Congenital cervical spinal cord injury usually is attribut
ed to intrapartum mechanical trauma. Case: A fetal cervical spinal cor
d hemorrhage presented as congenital isolated upper extremity (''cruci
ate'') paralysis and muscle atrophy after an atraumatic delivery. Time
ly neonatal diagnosis and surgery resulted in complete recovery. Concl
usion: Paralysis may result from atraumatic spinal cord injuries occur
ring in the antepartum period. (C) 1998 by The American College of Obs
tetricians and Gynecologists.