Key result
Intensive rehabilitation and pharmacotherapy drive clinical and imaging recovery in a Parsonage-Turner syndrome case.
Why the study?
Parsonage-Turner syndrome is a rare neurological disorder that presents great diagnostic difficulties in paediatric patients with shoulder pain.
Case Report (n=1)
Parsonage-Turner syndrome should be considered in the differential diagnosis of shoulder pain in pediatric patients.
Case of PTS with cerebellar signs in adolescent; leaves open whether central involvement is part of syndrome or coincidental.
Parsonage-Turner syndrome (PTS) is a rare neurological disorder characterized by severe unilateral pain in the shoulder.Muscle weakness and wasting can be also observed.The etiology is unknown.The study presents the case of a 15-year-old male with increasing paresis of the right upper limb.The patient reported pain and dizziness.Romberg's test and fingerto-nose test were positive.There was an abduction disorder of the right glenohumeral joint.MRI showed the cerebellar vermis with a slightly increased intensity.After starting the treatment, the cerebellar symptoms disappeared quickly, but the problems with the shoulder persisted.An ultrasound of the right brachial plexus showed oedema lesions.EMG revealed signs of damage to the right brachial plexus.Rehabilitation was recommended.After 10 months, the boy's clinical condition improved.PTS is a disease that presents great diagnostic difficulties.Doctors must take this syndrome in the differential diagnosis of shoulder pain.
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Syzdoł et al. (2022) conducted a case report in Parsonage-Turner syndrome (n=1). Pharmacological treatment and intensive rehabilitation was evaluated on Clinical improvement and regression of imaging abnormalities. In a 15-year-old male with Parsonage-Turner syndrome, intensive rehabilitation and pharmacological treatment led to significant clinical improvement and regression of imaging abnormalities after 10 months.
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