Diagnostic difficulties in a paediatric patient with shoulder pain: Parsonage-Turner syndrome – Case Report

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Titel: Diagnostic difficulties in a paediatric patient with shoulder pain: Parsonage-Turner syndrome – Case Report
Autoren: Bartłomiej Syzdoł, Wiktoria Sielwanowska, Anna Maria Rzewuska, Monika Żybowska, Magdalena Chrościńska-Krawczyk
Quelle: Journal of Pre-Clinical and Clinical Research, Vol 16, Iss 3, Pp 90-93 (2022)
Verlagsinformationen: Institute of Rural Health, 2022.
Publikationsjahr: 2022
Schlagwörter: brachial plexus, Medicine (General), 03 medical and health sciences, R5-920, 0302 clinical medicine, shoulder pain, parsonage-turner syndrome, 3. Good health
Beschreibung: Parsonage-Turner syndrome (PTS) is a rare neurological disorder characterized by severe unilateral pain in the shoulder. Muscle weakness and wasting can be also observed. The etiology is unknown. The study presents the case of a 15-year-old male with increasing paresis of the right upper limb. The patient reported pain and dizziness. Romberg's test and finger-to-nose test were positive. There was an abduction disorder of the right glenohumeral joint. MRI showed the cerebellar vermis with a slightly increased intensity. After starting the treatment, the cerebellar symptoms disappeared quickly, but the problems with the shoulder persisted. An ultrasound of the right brachial plexus showed oedema lesions. EMG revealed signs of damage to the right brachial plexus. Rehabilitation was recommended. After 10 months, the boy's clinical condition improved. PTS is a disease that presents great diagnostic difficulties. Doctors must take this syndrome in the differential diagnosis of shoulder pain.
Publikationsart: Article
ISSN: 1898-7516
1898-2395
DOI: 10.26444/jpccr/155035
Zugangs-URL: https://doaj.org/article/017e631a69284ef886b0f513db7628ad
https://www.jpccr.eu/Diagnostic-difficulties-in-a-paediatric-patient-with-shoulder-pain-Parsonage-Turner
155035
0
2.html
https://doi.org/10.26444/jpccr/155035
Rights: URL: https://creativecommons.org/licenses/by-nc/3.0/pl/deed.en
Dokumentencode: edsair.doi.dedup.....0c73c24ac2f63ce23ba373f3939d1e5a
Datenbank: OpenAIRE
Beschreibung
Abstract:Parsonage-Turner syndrome (PTS) is a rare neurological disorder characterized by severe unilateral pain in the shoulder. Muscle weakness and wasting can be also observed. The etiology is unknown. The study presents the case of a 15-year-old male with increasing paresis of the right upper limb. The patient reported pain and dizziness. Romberg's test and finger-to-nose test were positive. There was an abduction disorder of the right glenohumeral joint. MRI showed the cerebellar vermis with a slightly increased intensity. After starting the treatment, the cerebellar symptoms disappeared quickly, but the problems with the shoulder persisted. An ultrasound of the right brachial plexus showed oedema lesions. EMG revealed signs of damage to the right brachial plexus. Rehabilitation was recommended. After 10 months, the boy's clinical condition improved. PTS is a disease that presents great diagnostic difficulties. Doctors must take this syndrome in the differential diagnosis of shoulder pain.
ISSN:18987516
18982395
DOI:10.26444/jpccr/155035