Keywords
pain
Parsonage-Turner
rehabilitation
electrodiagnosis.
Abstract
Parsonage-Tuner syndrome is a rare neurological entity of unknown etiology, associated with viral infections, trauma, and vaccinal history. In the context of the COVID-19 pandemic, cases of this neurological entity have been reported as an infectious complication, with the clinical development of pain, weakness, and typical electrophysiological studies. There is a need to consider Parsonage-Turner syndrome in the differential diagnosis of monoplegia in patients with COVID-19 infection and to promote clinical management strategies. Less than 7 cases have been described in the literature, this being the first in Latin America.References
Wang D, Hu B, Hu C, Zhu F, Liu X, Zhang J, et al. Clinical Characteristics of 138 Hospitalized Patients With 2019 Novel Coronavirus–Infected Pneumonia in Wuhan, China. JAMA. 2020;323(11):1061-9.
2. Newcombe VFJ, Dangayach NS, Sonneville R. Neurological complications of COVID-19. Intensive Care Med. 2021;47(9):1021-3.
3. Serna RV, González JFC, Gálvez LA. Síndrome de Guillain-Barré asociado a COVID-19: diagnóstico, tratamiento y rehabilitación. Neurol Perspect. 2021;1:104-6.
4. Mitry MA, Collins LK, Kazam JJ, Kaicker S, Kovanlikaya A. Parsonage-turner syndrome associated with SARS-CoV-2 (COVID-19) infection. Clin Imaging. 2021;72:8-10.
5. Smith CC, Bevelaqua A-C. Challenging pain syndromes: Parsonage-Turner syndrome. Phys Med Rehabil Clin N Am. 2014;25(2):265-77.
6. Arce L, Cantor JF, Rodríguez LM. Parsonage-Turner posterior a vacunación antirrábica por mordedura de murciélago: comunicación de un caso. Rev Soc Esp Dolor. 2021;28:5. DOI: 10.20986/resed.2021.3832/2020.
7. van Alfen N, van Engelen BGM. The clinical spectrum of neuralgic amyotrophy in 246 cases. Brain. 2006;129(Pt 2):438-50. https://doi.org/10.1093/brain/awh722.
8. Ismail II, Abdelnabi EA, Al-Hashel JY, Alroughani R, Ahmed SF. Neuralgic amyotrophy associated with COVID-19 infection: a case report and review of the literature. Neurol Sci. 2021;42(6):2161-5.
9. Aksan F, Nelson EA, Swedish KA. A COVID-19 patient with intense burning pain. J Neurovirol 2020;26(5):800-1.
10. Viatgé T, Noel-Savina E, Prévot G, Faviez G, Plat G, De Boissezon X, et al. Parsonage-Turner syndrome following severe SARS-CoV-2 infection. Rev Mal Respir. 2021;38(8):853-8. Wang D, Hu B, Hu C, Zhu F, Liu X, Zhang J, et al. Clinical Characteristics of 138 Hospitalized Patients With 2019 Novel Coronavirus–Infected Pneumonia in Wuhan, China. JAMA. 2020;323(11):1061-9.
2. Newcombe VFJ, Dangayach NS, Sonneville R. Neurological complications of COVID-19. Intensive Care Med. 2021;47(9):1021-3.
3. Serna RV, González JFC, Gálvez LA. Síndrome de Guillain-Barré asociado a COVID-19: diagnóstico, tratamiento y rehabilitación. Neurol Perspect. 2021;1:104-6.
4. Mitry MA, Collins LK, Kazam JJ, Kaicker S, Kovanlikaya A. Parsonage-turner syndrome associated with SARS-CoV-2 (COVID-19) infection. Clin Imaging. 2021;72:8-10.
5. Smith CC, Bevelaqua A-C. Challenging pain syndromes: Parsonage-Turner syndrome. Phys Med Rehabil Clin N Am. 2014;25(2):265-77.
6. Arce L, Cantor JF, Rodríguez LM. Parsonage-Turner posterior a vacunación antirrábica por mordedura de murciélago: comunicación de un caso. Rev Soc Esp Dolor. 2021;28:5. DOI: 10.20986/resed.2021.3832/2020.
7. van Alfen N, van Engelen BGM. The clinical spectrum of neuralgic amyotrophy in 246 cases. Brain. 2006;129(Pt 2):438-50. https://doi.org/10.1093/brain/awh722.
8. Ismail II, Abdelnabi EA, Al-Hashel JY, Alroughani R, Ahmed SF. Neuralgic amyotrophy associated with COVID-19 infection: a case report and review of the literature. Neurol Sci. 2021;42(6):2161-5.
9. Aksan F, Nelson EA, Swedish KA. A COVID-19 patient with intense burning pain. J Neurovirol 2020;26(5):800-1.
10. Viatgé T, Noel-Savina E, Prévot G, Faviez G, Plat G, De Boissezon X, et al. Parsonage-Turner syndrome following severe SARS-CoV-2 infection. Rev Mal Respir. 2021;38(8):853-8.
11. Harb A, Kishner S. Modified Ashworth Scale. Treasure Island (FL); 2021.
12. Mao L, Jin H, Wang M, Hu Y, Chen S, He Q, et al. Neurologic Manifestations of Hospitalized Patients With Coronavirus Disease 2019 in Wuhan, China. JAMA Neurol. 2020;77(6):683-90.
13. Alvarado M, Lin-Miao Y, Carrillo-Arolas M. Parsonage-Turner syndrome post-infection by SARS-CoV-2: A Case Report. Neurologia. 2021;6(7):568-71. DOI: 10.1016/j.nrleng.2021.04.003.
14. Bates D, Schultheis BC, Hanes MC, Jolly SM, Chakravarthy K V, Deer TR, et al. A Comprehensive Algorithm for Management of Neuropathic Pain. Pain Med. 2019;20(Suppl. 1):S2-12.
15. Akyuz G, Kenis O. Physical therapy modalities and rehabilitation techniques in the management of neuropathic pain. Am J Phys Med Rehabil. 2014;93(3):253-9.
16. Schreiber AL, Abramov R, Fried GW, Herbison GJ. Expanding the differential of shoulder pain: Parsonage-Turner syndrome. J Am Osteopath Assoc. 2009;109(8):415-22.