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Postsurgical Parsonage-Turner syndrome: a challenging diagnosis
Skrallan Verhasselt1, Sebastiaan Schelfaut, Filiep Bataillie
1Department of Musculoskeletal Sciences, University Hospitals Leuven, Pellenberg, Belgium.
Acta Orthopaedica Belgica
|April 4, 2013
Summary
Parsonage-Turner syndrome (PTS) is a rare neurological disorder causing severe shoulder pain and weakness. Early recognition of postsurgical PTS is crucial for proper management and patient satisfaction.
Area of Science:
- Neurology
- Immunology
Background:
- Parsonage-Turner syndrome (PTS) is an immune-mediated disorder causing acute shoulder pain and subsequent weakness.
- It is often misdiagnosed, leading to delayed recognition and treatment.
Observation:
- This case report details a 59-year-old man experiencing PTS symptoms four weeks after anterior cervical discectomy and fusion (C5-C7).
- Postsurgical PTS presents a diagnostic challenge, requiring differentiation from surgical complications like C5 palsy.
Findings:
- Key indicators for PTS include a delay between surgery and symptom onset, severe pain followed by weakness, and divergent patterns of pain, weakness, and sensory deficits.
- Electrodiagnostic studies can aid in confirming the diagnosis.
Implications:
- Early identification of postsurgical PTS can prevent unnecessary investigations and surgical interventions.
- Prompt diagnosis facilitates appropriate treatment, including pain management and physical therapy, improving patient outcomes and satisfaction.
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