Parsonage-Turner syndrome and SARS-CoV-2 infection: A case report

Saade, F.; Bouteille, C.; Quemener-Tanguy, A.; Obert, L.; Rochet, S.

doi:10.1016/j.hansur.2022.10.002

Cited by 5 publications

(20 citation statements)

References 17 publications

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“…After deduplication, 288 articles were included. Finally, we identified 57 papers on PTS in patients with COVID-19 to assess in full text; 21 papers were ultimately included [ 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 ]. The screening and selection of papers were conducted by one reviewer and cross-checked by a second author.…”

Section: Resultsmentioning

confidence: 99%

“…This systematic review included 21 articles reporting on 26 cases of patients from the USA (8 cases) [ 25 , 27 , 32 , 38 , 40 , 44 ], France (6 patients) [ 34 , 36 , 41 , 43 ], Italy (3 cases) [ 29 , 31 , 45 ], Spain (1 case) [ 26 ], Germany (1 case) [ 42 ], Hong Kong (1 case) [ 33 ], Singapore [ 39 ], Kuwait (1 case) [ 37 ], Iran (1 case) [ 28 ], Chile [ 35 ], and Mexico (2 cases) [ 30 ].…”

Section: Resultsmentioning

confidence: 99%

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Parsonage-Turner Syndrome Following SARS-CoV-2 Infection: A Systematic Review

Cornea

Lata²,

Simu

et al. 2023

Biomedicines

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Parsonage-Turner syndrome (PTS) is an inflammatory disorder of the brachial plexus. Hypothesized underlying causes focus on immune-mediated processes, as more than half of patients present some antecedent event or possible predisposing condition, such as infection, vaccination, exercise, or surgery. Recently, PTS was reported following the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. We aimed to investigate data on PTS triggered by SARS-CoV-2 infection to provide an extensive perspective on this pathology and to reveal what other, more specific, research questions can be further addressed. In addition, we aimed to highlight research gaps requiring further attention. We systematically reviewed two databases (LitCOVID and the World Health Organization database on COVID-19) to January 2023. We found 26 cases of PTS in patients with previous SARS-CoV-2 infection. The clinical and paraclinical spectrum was heterogeneous, ranging from classical PTS to pure sensory neuropathy, extended neuropathy, spinal accessory nerve involvement, and diaphragmatic palsy. Also, two familial cases were reported. Among them, 93.8% of patients had severe pain, 80.8% were reported to present a motor deficit, and 53.8% of patients presented muscle wasting. Paresthesia was noted in 46.2% of PTS individuals and a sensory loss was reported in 34.6% of patients. The present systematic review highlights the necessity of having a high index of suspicion of PTS in patients with previous SARS-CoV-2 infection, as the clinical manifestations can be variable. Also, there is a need for a standardized approach to investigation and reporting on PTS. Future studies should aim for a comprehensive assessment of patients. Factors including the baseline characteristics of the patients, evolution, and treatments should be consistently assessed across studies. In addition, a thorough differential diagnosis should be employed.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Parsonage-Turner Syndrome Following SARS-CoV-2 Infection: A Systematic Review

Cornea

Lata²,

Simu

et al. 2023

Biomedicines

View full text Add to dashboard Cite

show abstract

“…We read with interest the article by Saade et al reporting on a 22-year-old male with Parsonage Turner syndrome (PTS) of the right cervico-brachial plexus, attributed to asymptomatic SARS-CoV-2 infection three weeks previously. 1 Corticosteroid treatment resulted in only incomplete recovery after sixth months. 1 The study is appealing but raises concerns that warrant further discussion.…”

mentioning

confidence: 99%

“… 1 Corticosteroid treatment resulted in only incomplete recovery after sixth months. 1 The study is appealing but raises concerns that warrant further discussion.…”

mentioning

confidence: 99%

“…PTS in the index patient was diagnosed based on the history (pain in cervical spine, pain in right upper limb), clinical neurologic exam (limited shoulder motion in abduction due to pain, right trapezius muscle wasting, weak right upper limb anteflexion, right scapular winging, ropey tendon in the inferior portion of the right trapezius), electromyography (EMG) (trapezius and anterior serratus muscle denervation), magnetic resonance imaging (MRI) (edema (T2 hyperintensity) of the trapezius and serratus anterior muscles), and the beneficial effect of corticosteroids resulting in incomplete recovery at the sixth-month follow-up. 1 …”

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confidence: 99%

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