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2009, Number 1

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Med Sur 2009; 16 (1)

Evaluation of the Parsonage-Turner syndrome with magnetic resonance imaging: Case report

Cosme LJ, Vivas BI, Roldán VE, Vázquez LJ
Full text How to cite this article

Language: Spanish
References: 7
Page: 31-34
PDF size: 169.52 Kb.


Key words:

Brachial plexus neuritis, magnetic resonance imaging, shoulder, pain.

ABSTRACT

Parsonage-Turner syndrome is an unusual neuromuscular disorder of unknown etiology that can be confused with other causes of pain or weakness, of the shoulder and arm. It is important to distinguish this disorder because of its dramatic symptoms and relatively good prognosis. Sharp shoulder pain, marks the onset of brachial neuritis, but is relatively short-lived. Weakness generally occurs as the pain is subsiding and most frequently involves muscles innervated by the supraescapular, less frequently the axilar nerve and rarely the musculocutaneous nerve. Electromyography shows if the lesion is bilateral, and also is of both diagnostic and prognostic value. Other laboratory studies serve only to exclude other causes of shoulder pain. The clinical course is variable, but in 90 per cent of patients complete recovery occurs within three years. We present a case of brachial neuritis with a discussion of the main imaging findings using MRI and a brief review of the literature.


REFERENCES

  1. Beghi E, Kurland LT, Mulder DW, Nicolosi A. Brachial plexus neuropathy in the population of Rochester, Minnesota, 1970-1981. Ann Neurol 1985; 18(3): 320-3.

  2. Ryan M, Twair A, Nelson E, Brennan D, Eustace S. Whole body magnetic resonance imaging in the diagnosis of Parsonage-Turner syndrome. Acta Radiol 2004; 45(5): 534-9.

  3. Misamore GW, Lehman DE. Parsonage-Turner syndrome (acute brachial neuritis). J Bone Joint Surg Am 1996; 78(9): 1405-8.

  4. Dillin L, Hoaglund FT, Scheck M. Brachial neuritis. J Bone Joint Surg Am 1985; 67(6): 878-80.

  5. Spillane JD. Localized neuritis of the shoulder girdle: a report of 46 patients. Lancet 1943; 2: 594-95.

  6. Gaskin CM, Helms CA. Parsonage-Turner syndrome: MR imaging findings and clinical information of 27 patients. Radiology 2006; 240(2): 501-7.

  7. Scalf RE, Wenger DE, Frick MA, Mandrekar JN, Adkins MC. MRI findings of 26 patients with Parsonage-Turner syndrome. AJR Am J Roentgenol 2007; 189(1): W39-44.




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Med Sur. 2009;16