Neuralgic amyotrophy

IJspeert, Jos; Janssen, Ramon; Alfen, Nens van

doi:10.1097/wco.0000000000000968

Cited by 44 publications

(52 citation statements)

References 72 publications

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“…PTS is a not a rare neurological disorder as previously thought (1). A recent prospective study suggests that its actual incidence rate is 1 per 1000 per year (7).…”

Section: Discussionmentioning

confidence: 80%

Parsonage Turner syndrome of the brachial plexus secondary to Covid-19 vaccine: A case report

Mejri

Hmida

Bedoui

et al. 2022

Preprint

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“…PTS is a not a rare neurological disorder as previously thought (1). A recent prospective study suggests that its actual incidence rate is 1 per 1000 per year (7).…”

Section: Discussionmentioning

confidence: 80%

Parsonage Turner syndrome of the brachial plexus secondary to Covid-19 vaccine: A case report

Mejri

Hmida

Bedoui

et al. 2022

Preprint

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“…Parsonage–Turner syndrome is a not a rare neurological disorder as previously thought 1 . A recent prospective study suggests that its actual incidence rate is 1 per 1000 per year 7 .…”

Section: Discussionmentioning

confidence: 91%

Parsonage–Turner syndrome of the brachial plexus secondary to COVID‐19 vaccine: A case report

Mejri

Hmida

Bedoui

et al. 2022

Clinical Case Reports

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BACKGROUNDParsonage-Turner syndrome (PTS), also known as neuralgic amyotrophy or idiopathic brachial plexopathy, is a rare peripheral multifocal inflammatory neuropathy that usually affects the upper limbs. 1 However, it is widely misdiagnosed because of its heterogeneous clinical appearance. 2 The classic presentation is a patient with subacute-onset of asymmetric shoulder pain, followed several days later by weakness and amyotrophy. 3 Although its exact cause is still unknown, multiple factors have been identified such as immunological (infection, vaccination, surgery, pregnancy, physical, or mental stress), mechanical (trauma, sports, or heavy labor), and genetic factors. 4 In the last years, PTS has been associated with severe COVID-19 infection as well as its vaccination. 5 Therefore, we report a rare case of a subacute-onset of PTS as a result of COVID-19 vaccine. | CASE DESCRIPTIONWe represent the case of a 50-year-old right-handed male patient, admitted to the neurology department of the Military Hospital of Tunis-Tunisia. He has no medical history of chronic diseases or medication use. He had a mild COVID-19 infection confirmed by RT-PCR on April 2021. The COVID-19 infection did not require hospitalization, nor oxygen therapy, neither other medication. He had a complete immunization schedule with no history of vaccine

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“…The fact that patients with NA had reduced below‐shoulder‐level AROM may be explained by strain and muscle rigidity. Scapular dyskinesia in NA causes overloading of periscapular muscles such as the rhomboids and levator scapulae, and subsequent strain and rigidity in complex shoulder movements 2,5 . This rigidity limits the lateral translation and internal rotation of the scapula, which are needed to position the humerus across the body, possibly resulting in a decrease in AROM for the affected arm to the contralateral side 27 .…”

Section: Discussionmentioning

confidence: 99%

Reachable workspace analysis is a potential measurement for impairment of the upper extremity in neuralgic amyotrophy

IJspeert

Lustenhouwer

Janssen³

et al. 2022

Muscle and Nerve

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Introduction/Aims: Neuralgic amyotrophy (NA) is a multifocal neuropathy involving the nerves of the upper extremity, limiting functional capability and reducing range of motion. The reachable workspace (RWS) is a computerized three-dimensinal analysis system that evaluates the relative surface area (RSA) of an individual's arm reachability and has shown utility in several neuromuscular disorders. The aims of this study were to examine the ability of the RWS to quantitatively detect limitations in upper extremity active range of motion in patients with NA, and correlate these with other upper extremity functional outcome measures. Methods: Forty-seven patients with NA and 25 healthy age-and sex-matched controls were measured with the RWS. Study participants' RSAs were correlated with scores on the Shoulder Rating Questionnaire (SRQ), the Disabilities of Arm Shoulder and Hand (DASH) questionnaire, and upper extremity strength measurements using hand-held dynamometry.Results: Patients with NA showed significantly lower values in the affected arm for all quadrants (except for the ipsilateral lower quadrant) and total RSA compared with controls (P < 0.001). We found moderate correlations between the reachable workspace, the DASH questionnaire result (r = À0.415), and serratus anterior muscle strength (r = 0.414).Discussion: RWS is able to detect limitations in active range of motion of the affected arm in patients with NA, and is moderately correlated with upper extremity functional measures. RWS can demonstrate impairment of the affected upper extremity in NA and it has potential as a clinical outcome measure.

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Neuralgic amyotrophy

Cited by 44 publications

References 72 publications

Parsonage Turner syndrome of the brachial plexus secondary to Covid-19 vaccine: A case report

Parsonage Turner syndrome of the brachial plexus secondary to Covid-19 vaccine: A case report

Parsonage–Turner syndrome of the brachial plexus secondary to COVID‐19 vaccine: A case report

Reachable workspace analysis is a potential measurement for impairment of the upper extremity in neuralgic amyotrophy

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