Idiopathic Brachial Plexus Neuritis (Parsonage-Turner Syndrome): A Case Report

Document Type : Case report

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Abstract

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ntroduction: Parsonage-Turner syndrome, an uncommon brachial plexus disorder, was first described by Parsonage and Turner in 1948. َAbrupt onset of upper arm intense pain followed by weakness and atrophy after lessening of pain is a characteristic feature of this rare syndrome. A typical case of this syndrome is reported in this paper.
Case Report: The patient, a 21 years oldman, was admitted in Neurology Ward at Ghaem Hospital of Mashhad University of Medical Sciences because of abrupt onset of upper arm pain and progressive atrophy and weakness in shoulder girdle after pain lessening. He had been vaccinated a few months before admission. Electrodiagnostic studies showed bilateral denervation of deltoid and supraspinatus muscles. Other causes of brachial plexus neuropathy ruled out with appropriate clinical and paraclinical studies. Partial improvement has been observed by conservative management after three months.

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References

1- Bradley WG. Daroff RB, Fenichel G.M. Neurology in clinical practice 4thed Butterworth-Heinemann; 2004. 2288-2290
2- Gevirtz C. Pain management in patients with Parsonage- Turner syndrome Topics in pain management 2006; 21:1-5
3- Magee KR, Dejonag RN. Paralytic brachial neuritis. JAMA 1960; 174:1258-1262.
4- Klein C J. Friedenberg S.M. Inflammation and neuropathic attacks in hereditary brachial Plexus neuropathy. J Neurol
Neurosurg Psychiatry 2002; 73:45-50.
5- Suarez GA,Giannini C,Bosch E P, Barohn RJ, Wodak J,Ebeling P. Immune brachial plexus neuropathy: suggestive
evidence for an inflammatory-immune pathogenesis. Neurology 1996; 46:559-561.
6- Tsao B E, Avery R, Shields RW. Neuralgic amyotrophy precipitated by Epstein-Barr virus. Neurology 2004;
62(7):1234-1235.
7- Tsairic P, Dyck P J, Mulder DW. Natural history of brachial plexus neuropathy: report on 99 patients. Arch Neurol
1972; 27:109-117.
8- Marshall GB, Mckenna E. and Mahallati H. Parsonage – Turner syndrome. Eur J Radiol Extra 2005; 56(2):51-53.
 
medical journal of mashhad university of medical sciences
Volume 51, Issue 1 - Serial Number 1
March and April 2007
Pages 71-74

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