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A rare case of pure sensitive Parsonage-Turner syndrome

  • Maria Elena PessaEmail author
  • Lorenzo Verriello
  • Mariarosaria Valente
  • Gian Luigi Gigli
Letter to the Editor
  • 7 Downloads

Dear Editor,

Parsonage-Turner syndrome (PTS) or neuralgic amiotrophy (NA) is a rare disorder characterised by severe neuropathic pain and subsequent patchy paresis in the upper extremity. It is usually monolateral, but bilateral involvement is reported in up to 15% of patients. There are idiopathic and familiar forms (about 200 families known worldwide). It is thought to have an immune-mediated aetiology and several antecedent events that may serve as triggers have been reported [1]. Corticosteroids for 2 weeks seem to shorten the painful phase and provide better recovery after 1 year [2]. The disorder is usually monophasic, but recurrence is reported from 5% to 26%, particularly in familiar forms. Although NA is commonly considered a motor disorder, sensory deficits are reported in most patients, but are usually mild [1].

We reported a rare case of bilateral pure sensitive neuralgic amiotrophy developed 2 weeks after TBE vaccination. A 62-year-old woman presented at our...

Notes

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

References

  1. 1.
    van Alfen N, van Engelen BG (2006) The clinical spectrum of neuralgic amyotrophy in 246 cases. Brain 129(pt 2):438–450CrossRefGoogle Scholar
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    van Eijk JJ, van Alfen N, Berrevoets M, van der Wilt GJ, Pillen S, van Engelen BG (2009) Evaluation of prednisolone treatment in the acute phase of neuralgic amyotrophy: an observational study. J Neurol Neurosurg Psychiatry 80:1120–1124CrossRefGoogle Scholar
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    van Alfen N, van Eijk JJ, Ennik T, Flynn SO, Nobacht IE, Groothuis JT, Pillen S, van de Laar FA (2015) Incidence of neuralgic amyotrophy (Parsonage-Turner syndrome) in a primary care setting - a prospective cohort study. PLoS One, 10e0128361Google Scholar
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    Seror P (2017) Neuralgic amiotrophy. An update. Joint Bone Spine 84(2):153–158CrossRefGoogle Scholar
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    van Alfen N, Huisman WJ, Overeem S, van Engelen BGM, Zwarts MJ (2009) Sensory nerve conduction studies in neuralgic amyotrophy. Am J Phys Med Rehabil 88:941–946CrossRefGoogle Scholar

Copyright information

© Fondazione Società Italiana di Neurologia 2019

Authors and Affiliations

  1. 1.Neurology ClinicAzienda Ospedaliero Universitaria Santa Maria della MisericordiaUdineItaly
  2. 2.Neurology UnitAzienda Ospedaliero Universitaria Santa Maria della MisericordiaUdineItaly

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