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12:22
A Primary Neuron Culture System for the Study of Herpes Simplex Virus Latency and Reactivation
Published on: April 2, 2012
Parsonage-Turner Syndrome rather than Zoster Neuritis?
Karim Gariani1, Michel R Magistris, Mathieu R Nendaz
1Division of General Internal Medicine, Department of Internal Medicine, Geneva University Hospitals, Geneva, Switzerland.
Case Reports in Neurology
|August 11, 2011
Summary
This case study highlights a rare presentation of simultaneous Parsonage-Turner syndrome and herpes zoster neuropathy in an elderly man. Diagnostic tools were crucial for differentiating these overlapping neurological conditions.
Area of Science:
- Neurology
- Infectious Diseases
Background:
- Parsonage-Turner syndrome (PTS) is an idiopathic inflammatory neuropathy affecting the brachial plexus.
- Herpes zoster neuropathy (HZN) is a complication of varicella-zoster virus reactivation, causing neuropathic pain and sensory deficits.
Observation:
- An 86-year-old male presented with acute left shoulder pain, progressing to left upper limb monoparesis.
- A distinct herpetic rash was observed on the left upper limb and thoracic region, coinciding with neurological symptoms.
Findings:
- The simultaneous presentation of PTS and HZN posed a significant diagnostic challenge.
- Electroneuromyography (EMG) and a thorough clinical evaluation were instrumental in differentiating the neurological involvement and confirming the dual diagnosis.
Implications:
- This case underscores the importance of comprehensive diagnostic approaches when faced with overlapping neurological presentations.
- Recognizing the potential for concurrent PTS and HZN is crucial for accurate diagnosis and timely management in elderly patients.
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