Parsonage–Turner Syndrome—Case Report and Literature Review

Hussey, Alan; O’Brien, Conor; Regan, Padraic J.

doi:10.1007/s11552-007-9059-x

Cited by 31 publications

(17 citation statements)

References 23 publications

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“…26 Podem existir fases da dor, a partir de contínua, a conversão para neuropática, e, posteriormente, tornar-se tipo dor musculoesquelética. A dor em homens, em comparação com o sexo feminino, inicialmente tende a durar mais tempo (45 versus 23 dias, respectivamente).…”

Section: Quadro Clínicounclassified

A “corrida” pela vacina da gripe em 2016

Silva

2016

Rev. Fac. Ciênc. Méd. Sorocaba

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Parsonage-Turner syndrome RESUMOA síndrome de Parsonage-Turner, neuralgia amiotrófica ou neurite do plexo braquial é uma síndrome rara, cuja causa é desconhecida. Os nervos supraescapular, axilar e seus músculos correspondentes são afetados com maior frequência. A doença apresenta uma ampla gama de manifestações clínicas, e os pacientes geralmente apresentam-se aos médicos de diferentes especialidades com queixa de dor intensa, de início súbito no ombro, que irradia para o braço ou pescoço e dura por horas ou semanas. Quando a dor desaparece, desenvolve-se uma paralisia flácida com fraqueza e atrofia muscular associada à perda sensorial da cintura escapular. O diagnóstico preciso pode ser desafiador e requer uma história completa e exame físico detalhado. Estudos de velocidade de condução nervosa e imagem auxiliam na avaliação. O tratamento consiste no controle sintomático. Os sintomas podem persistir durante mais do que um ano, mas a maioria dos pacientes evolui para resolução ao longo do tempo. Palavras-chave: neurite do plexo braquial; plexo braquial; inflamação. ABSTRACTThe Parsonage-Turner syndrome, amyotrophic neuralgia or neuritis of the brachial plexus is a rare syndrome, of unknown cause. The more frequently affected structures are the suprascapular, axillary nerves and their corresponding muscles. The disease has a wide range of clinical manifestations, and patients usually come to physicians of different specialties with intense and sudden pain complaints in the shoulder, radiating to the arm or neck and that lasts for hours or weeks. When the pain disappears, the patient develops a flaccid paralysis and muscle weakness associated with sensory loss of the shoulder girdle. Accurate diagnosis can be challenging and requires a complete history and detailed physical examination. Nerve conduction velocity and imaging studies help to evaluate the disease. Treatment consists of symptomatic control. The symptoms can persist for more than one year, but most patients recover over time.

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Section: Quadro Clínicounclassified

A “corrida” pela vacina da gripe em 2016

Silva

2016

Rev. Fac. Ciênc. Méd. Sorocaba

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“…If the active and passive motion examination of the shoulder reveals no disorder, the pain is usually caused by structures external to the shoulder or the shoulder pain can be part of a radiating pattern such as brachialgia resulting from cervical radicular syndrome or a brachial plexus lesion. This also includes neurological conditions such as Parsonage–Turner syndrome (amyotrophic shoulder neuralgia) 7 and the referred pain syndromes of the shoulder; the latter can have a visceral genesis. An exception is the unstable shoulder as in habitual shoulder dislocation.…”

Section: Diagnosismentioning

confidence: 99%

9. Painful Shoulder Complaints

et al. 2010

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Painful shoulder complaints have a high incidence and prevalence. The etiology is not always clear. Clinical history and the active and passive motion examination of the shoulder are the cornerstones of the diagnostic process. Three shoulder tests are important for the examination of shoulder complaints: shoulder abduction, shoulder external rotation, and horizontal shoulder adduction. These tests can guide the examiner to the correct diagnosis. Based on this diagnosis, in most cases, primarily a conservative treatment with nonsteroidal anti-inflammatory drugs possibly in combination with manual and/or exercise therapy can be started. When conservative treatment fails, injection with local anesthetics and corticosteroids can be considered. In the case of frozen shoulder, a continuous cervical epidural infusion of local anesthetic and small doses of opioids or a pulsed radiofrequency treatment of the nervus suprascapularis can be considered.

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“…Patienten mit einer Neuritis im Schulterbereich ("localised neuritis of the shoulder girdle") beschrieben worden. Schilderungen ähnlicher Symptome lassen sich bis in das Jahr 1897 zurückverfolgen [1][2][3][4].…”

Section: Introductionunclassified

Das Parsonage-Turner-Syndrom

Katzer¹,

Niedermauntel²,

Rump³

2017

Z Orthop Unfall

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Neuralgic amyotrophy of the shoulder (Parsonage-Turner syndrome) is a rare condition of unknown aetiology which manifests as acute neuropathy of the brachial plexus. Diagnosis is based on typical symptoms and physical examination. In addition, magnetic resonance imaging of the affected shoulder and the cervical spine is advisable, in order to distinguish this syndrome from other conditions with similar symptoms. There is no specific treatment for neuralgic amyotrophy, but in about 50 - 67% of cases complete recovery occurs within two to three years, depending on the severity of the symptoms when they first appear. In patients whose strength and function are not fully restored, neurological deficits may remain, especially if the same shoulder is affected by recurrent attacks.

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Parsonage–Turner Syndrome—Case Report and Literature Review

Cited by 31 publications

References 23 publications

A “corrida” pela vacina da gripe em 2016

A “corrida” pela vacina da gripe em 2016

9. Painful Shoulder Complaints

Das Parsonage-Turner-Syndrom

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