Abstract
We report an unusual case of Parsonage–Turner syndrome with relapses and simultaneous bilateral anterior interosseous neuropathy (AIN). A 66-year-old man, after a typical right brachial amyotrophic neuralgia few months previously, underwent surgery for left carpal tunnel syndrome. The day following surgery, wrist aching and bilateral weakness, even if prevalent on the right side, on thumb and index finger flexion appeared. Neurophysiology was consistent with bilateral AIN neuropathy and serology revealed anti-nucleus antibody positivity. Association of relapses with bilateral acute AIN involvement in the subject with autoantibody detection can suggest an immunological pathogenesis.
This is a preview of subscription content, log in via an institution to check access.
References
Parsonage MJ, Turner JWA (1948) Neuralgic amyotrophy. The shoulder-girdle syndrome. Lancet 1:973–978
Cruz-Martinez A, Barrio M, Arpa J (2002) Neuralgic amyotrophy: variable expression in 40 patients. J Peripher Nerv Syst 7:198–204
Szwejbka PE, Conter R, Tenser R et al (2004) Bilateral anterior interosseous neuropathy following surgery: a case report. Electromyogr Clin Neurophysiol 44:183–186
Seror P (1999) Post-partum Parsonage–Turner neuralgic amyotrophy. J Gynecol Obstet Biol Reprod (Paris) 28:479–482
Serratrice G, Baudoin D, Pouget J et al (1992) Typical and atypical forms of neuralgic amyotrophy of the shoulder: 86 cases. Rev Neurol (Paris) 148:47–50
Dananchet Y, Besson G (2002) Parsonage–Turner syndrome and giant-cell arteritis. Rev Neurol (Paris) 158:354–356
Symonds RP, Hogg RB, Bone I (1994) Paraneoplastic neurological syndromes associated with lymphomas. Leuk Lymphoma 15:487–490
Arias M, Arias-Rivas S, Dapena D et al (2005) Brachial plexitis and myelitis and herpes-zoster lumbar plexus disorder in patient treated with infliximab. Neurologia 20:374–376
Janes SE, Whitehouse WP (2003) Brachial neuritis following infection with Epstein–Barr virus. Eur J Paediatr Neurol 7:413–415
Cordonnier C, Chazerain P, Campagne JP et al (1993) Parsonage–Turner syndrome disclosing HIV seropositivity. Ann Med Interne (Paris) 144:346–347
Van Alfen N, Van Engelen BG (2006) The clinical spectrum of neuralgic amyotrophy in 246 cases. Brain 129:438–450
England DJ (1999) The variations of neuralgic amyotrophy. Muscle Nerve 22:435–436
Vriesendorp FJ, Dmytrenko GS, Dietrich T et al (1993) Anti-peripheral nerve myelin antibodies and terminal activation products of complement in serum of patients with acute brachial plexus neuropathy. Arch Neurol 50:1301–1303
Gaskin CM, Helms CA (2006) Parsonage–Turner syndrome: MR imaging findings and clinical information of 27 patients. Radiology 240:501–507
England JD, Sumner AJ (1987) Neuralgic amyotrophy: an increasingly diverse entity. Muscle Nerve 10:60–68
Uetani M, Hayashi K, Matsunaga N et al (1993) Denervated skeletal msucle: MR imaging. Work in progress. Radiology 189:511–515
Rennels GD, Ochoa J (1980) Neuralgic amyotrophy manifesting as anterior interosseous nerve palsy. Muscle Nerve 3:160–164
Fibuch EE, Mertz J, Geller B (1996) Post-operative onset of idiopathic brachial neuritis. Anaesthesiology 84:455–458
Feinberg JH, Doward DA, Gonsalves A (2007) Cervical radiculopathy versus Parsonage–Turner syndrome: a case report. HSS J 3:106–111
Suarez GA, Giannini C, Bosh EP et al (1996) Immune brachial plexus neuropathy: suggestive evidence for an inflammatory-immune pathogenesis. Neurology 46:559–561
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Squintani, G., Mezzina, C., Lettieri, C. et al. Unusual Parsonage–Turner syndrome with relapses and bilateral simultaneous anterior interosseous neuropathy. Neurol Sci 30, 513–516 (2009). https://doi.org/10.1007/s10072-009-0124-9
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10072-009-0124-9