2010
DOI: 10.1007/s11420-010-9176-x
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Parsonage-Turner Syndrome

Abstract: Parsonage-Turner Syndrome (PTS), also referred to as idiopathic brachial plexopathy or neuralgic amyotrophy, is a rare disorder consisting of a complex constellation of symptoms with abrupt onset of shoulder pain, usually unilaterally, followed by progressive neurologic deficits of motor weakness, dysesthesias, and numbness. Although the etiology of the syndrome is unclear, it is reported in various clinical situations, including postoperatively, postinfectious, posttraumatic, and postvaccination. The identifi… Show more

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Cited by 141 publications
(205 citation statements)
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“…Although ParsonageTurner Syndrome could also be a reason of unilateral shoulder pain post-vaccination, the history and physical exam lacked signs and symptoms of neuralgias, sensory changes, atrophy, and arm weakness. 10 Additionally, as 2 out of 3 patients were elderly, age-related degenerative changes could have attributed to the pain and limitation of motion. However, given the acute onset of these changes and timely association with vaccination, age-related changes were unlikely to be the cause even with radiologic evidence of mild degenerative changes.…”
Section: Discussionmentioning
confidence: 99%
“…Although ParsonageTurner Syndrome could also be a reason of unilateral shoulder pain post-vaccination, the history and physical exam lacked signs and symptoms of neuralgias, sensory changes, atrophy, and arm weakness. 10 Additionally, as 2 out of 3 patients were elderly, age-related degenerative changes could have attributed to the pain and limitation of motion. However, given the acute onset of these changes and timely association with vaccination, age-related changes were unlikely to be the cause even with radiologic evidence of mild degenerative changes.…”
Section: Discussionmentioning
confidence: 99%
“…This is often worse at night. The symptoms are generally unilateral, with no difference with respect to hand dominance 2 5. A report on 246 patients, diagnosed with both INA and HNA, revealed a mean duration of this initial severe pain of around 4 weeks, although 4.9% and 22.7% experienced resolution within 48 h and 1–7 days, respectively 4.…”
Section: Discussionmentioning
confidence: 99%
“…The pattern of paresis is highly variable and may be patchy or confined to a single peripheral nerve 6. Occasionally nerves not originating from the plexus may be involved; however, the upper branches of the plexus are more commonly affected: the long thoracic, suprascapular and axillary nerves 4 5. Winging of the scapula is a common examination finding, being observed in up to 66% of cases 7.…”
Section: Discussionmentioning
confidence: 99%
“…Viral illness or autoimmune responses have been considered the most common risk factors for PTS. Moreover, there appears to be an association between several conditions with vasculitic component and the development of PTS [1]. PTS is usually characterized by the sudden onset of severe shoulder and upper arm pain followed by motor involvement (weakness and atrophy) several days later.…”
Section: Introductionmentioning
confidence: 99%