Parsonage-Turner syndrome
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| Title: | Parsonage-Turner syndrome |
|---|---|
| Authors: | Borovečki, Fran, Bilić, Ervina, Radić, Borislav, Blažeković, Antonela, Bilić, Hrvoje, Meglaj, Sarah |
| Source: | Neurologia Croatica. 69(1):19-23 |
| Publisher Information: | 2024. |
| Publication Year: | 2024 |
| Subject Terms: | brachial plexus, Parsonage-Turner syndrome, neuralgic amyotrophy |
| Description: | Objective: Here we wanted to demonstrate the importance of having a broad differential diagnosis to avoid misdiagnosis in patients suffering from Parsonage-Turner syndrome (PTS). Case description: PTS is a rare idiopathic neuritis of the brachial plexus, characterized by sudden onset of pain in the shoulder and arm, followed by progressive weakness and muscle atrophy of the affected area. We present a case of a Caucasian 8-year-old boy from Croatia with acute onset of shoulder pain aft er viral infection recovery. The boy was treated with methylprednisolone and several courses of intravenous immune globulin. Over time, the patient developed necrosis of the right acetabulum, and corrective osteotomy was performed. At the age of 19, a neurological exam showed severe atrophy of the right shoulder muscles. Results: Th e diagnostic delay in our case was three years, showing the lack of specific tests when diagnosing PTS. Even though the patient received immunoglobulin and corticosteroid treatment, atrophy of the right shoulder muscles occurred, and his motor skills in the right arm were reduced. Conclusion: Since clinical presentation can refl ect other pathological conditions, accurate diagnosis is difficult and oftentimes delayed. Our case illustrates the importance of including broad differential diagnosis in patients with shoulder pain for prompt initiation of an accurate therapy. |
| Document Type: | Article |
| ISSN: | 0353-8842 |
| Access URL: | https://neurologiacroatica.hr/Documents/Neurologiacroatica_2024_1.pdf#page=21 |
| Accession Number: | edsair.dris...01492..9c8475d37a0f4216e1242522556185f2 |
| Database: | OpenAIRE |
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