Shoulder palsy following SARS‐CoV‐2 infection: two cases of typical Parsonage–Turner syndrome

Fortanier, Etienne; Corroller, Thomas Le; Hocquart, Marie; Delmont, Émilien; Attarian, Shahram

doi:10.1111/ene.15358

Cited by 7 publications

(21 citation statements)

References 10 publications

(18 reference statements)

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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%

“…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%

“…A motor deficit was present in 21/26 (80.8%) patients [ 26 , 27 , 28 , 29 , 32 , 33 , 34 , 35 , 36 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 46 ]. Muscle strength was normal in 3/26 (11.5%) patients; two presented a pure sensory PTS [ 31 , 45 ], and one case is unclear: the authors report a normal motor function, but eight weeks later, he had scapula winging [ 25 ].…”

Section: Resultsmentioning

confidence: 99%

“…Among 26 patients, NCS was performed in 11 cases (11/26, 42.3%) [ 27 , 31 , 33 , 34 , 35 , 36 , 37 , 42 , 45 ], and EMG in 18 cases (18/26, 69.2%) [ 25 , 28 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 41 , 42 , 43 , 44 , 45 ]. The NCS findings varied depending on the nerve fibers affected and the timing of the investigation.…”

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

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Shoulder palsy following SARS‐CoV‐2 infection: two cases of typical Parsonage–Turner syndrome

Fortanier

Corroller

Hocquart

et al. 2022

Euro J of Neurology

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Association of Parsonage–Turner syndrome with COVID-19 infection and vaccination: a systematic review

Ameer,

Haiy,

Bajwa

et al. 2023

J Int Med Res

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Objectives The exact etiology of Parsonage–Turner syndrome is unknown, but it is known to be preceded by infection, vaccination, or surgical intervention. In this review, we describe associations of Parsonage–Turner syndrome with COVID-19 infection and vaccination. Methods A systematic literature search was conducted using PubMed/MEDLINE, ScienceDirect, and Google Scholar. Microsoft Excel was used for data extraction and statistical analysis. The quality of case reports and case series was assessed using the Joanna Briggs Institute Critical Appraisal Tool. Results We selected 44 case reports and 10 case series, including 68 patients (32 post-vaccination and 36 with post-COVID-19 infection Parsonage–Turner syndrome). Middle-aged males were predominantly affected in both groups. The most frequently administered vaccine was Comirnaty (Pfizer) (53%). The mean latency was 11.7 days in the post-vaccination group and 20.3 days in the post-infection group. The most affected nerves in both groups were the axillary, suprascapular, and musculocutaneous nerves; and 78.1% and 38.9% of patients showed partial amelioration of their symptoms in the post-vaccination and post-infection groups, respectively. Conclusion Post-vaccination Parsonage–Turner syndrome presents earlier than post-infection disease. Pain and sensorimotor deficits of the upper limb are common in both situations. Complete or partial recovery occurs in most cases.

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Shoulder palsy following SARS‐CoV‐2 infection: two cases of typical Parsonage–Turner syndrome

Abstract: ‐

Cited by 7 publications

References 10 publications

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

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

Shoulder palsy following SARS‐CoV‐2 infection: two cases of typical Parsonage–Turner syndrome

Association of Parsonage–Turner syndrome with COVID-19 infection and vaccination: a systematic review

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