Parsonage-Turner syndrome following COVID-19 infection: a report of three cases

Castaneda, Diego Martinez; Chambers, MaKenzie M.; Johnsen, Parker H.; Fedorka, Catherine J.

doi:10.1016/j.xrrt.2022.11.001

Cited by 4 publications

(30 citation statements)

References 18 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%

“…Nine (34.6%) patients presented significant comorbidities: clavicle fracture [ 25 ], familial history of PTS [ 30 ], history of work-related shoulder pain [ 32 ], shoulder arthroplasty [ 32 ], psoriatic arthropathy in remission [ 33 ], an episode of anterior dislocation of the shoulder [ 41 ], or prior rotator cuff repair performed 2.5 years previously [ 44 ].…”

Section: Resultsmentioning

confidence: 99%

“…In two patients (2/26, 7.7%), the onset time of PTS was unclear [ 26 , 29 ]. The neurological complaints were reported to occur simultaneously with COVID-19 in 5/24 (20.8%) patients [ 30 , 32 , 41 , 45 ], and within one week of infection in 3/24 (12.5%) cases [ 25 , 37 , 39 ]. Nine individuals (9/24, 37.5%) developed PTS after more than seven days but within one month of infection [ 28 , 31 , 32 , 33 , 35 , 36 , 42 , 43 ].…”

Section: Resultsmentioning

confidence: 99%

“…The neurological complaints were reported to occur simultaneously with COVID-19 in 5/24 (20.8%) patients [ 30 , 32 , 41 , 45 ], and within one week of infection in 3/24 (12.5%) cases [ 25 , 37 , 39 ]. Nine individuals (9/24, 37.5%) developed PTS after more than seven days but within one month of infection [ 28 , 31 , 32 , 33 , 35 , 36 , 42 , 43 ]. In 7/24 (29.2%) patients, PTS symptom onset occurred after more than a month from COVID-19 infection [ 27 , 32 , 34 , 38 , 40 , 44 ].…”

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%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

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

Anatomic total shoulder arthroplasty in a patient with Parsonage-Turner syndrome: a case report

Conyer

Sperling

2023

JSES Reviews, Reports, and Techniques

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Winged scapula caused by Parsonage-Turner syndrome after BNT162b2 mRNA COVID-19 vaccination

Ishizuka

Ohira

2023

European Journal of Case Reports in Internal Medicine

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A 45-year-old Japanese woman presented with difficulty moving her left shoulder. Ten months previously, the day after she had received her second dose of the BNT162b2 mRNA COVID-19 vaccine, a severe stabbing pain occurred in her entire left upper extremity. The pain resolved within 2 weeks, although she developed difficulty moving her left shoulder. A left winged scapula was observed. Electromyography showed left upper brachial plexopathy with acute axonal involvement and abundant acute denervation potentials, consistent with Parsonage-Turner syndrome (PTS). PTS should be considered in patients with post-neuralgic motor paralysis of the unilateral upper extremity, which can occur after COVID-19 vaccination.

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Parsonage-Turner syndrome following COVID-19 infection: a report of three cases

Cited by 4 publications

References 18 publications

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

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

Anatomic total shoulder arthroplasty in a patient with Parsonage-Turner syndrome: a case report

Winged scapula caused by Parsonage-Turner syndrome after BNT162b2 mRNA COVID-19 vaccination

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