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Case Reports
. 2021 Aug;1(3):252-256.
doi: 10.1016/j.xrrt.2021.04.002. Epub 2021 Apr 21.

Parsonage-Turner syndrome association with SARS-CoV-2 infection

Cristóbal Díaz  1   2 , Julio J Contreras  1   2   3   4 , Martín Muñoz  2 , Matías Osorio  1   2 , Milton Quiroz  5 , Renato Pizarro  5
Affiliations
Case Reports

Parsonage-Turner syndrome association with SARS-CoV-2 infection

Cristóbal Díaz et al. JSES Rev Rep Tech. 2021 Aug.
No abstract available

Keywords: Brachial plexus neuritis; COVID-19; SARS-CoV-2; Shoulder pain.

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Figures

Figure 1
Figure 1
Inspection at initial presentation. (A) Severe active anterior elevation deficit. (B) Muscle atrophy at the level of the supraspinatus and infraspinatus fossa.
Figure 2
Figure 2
Radiographic study. The radiographic study shows no alterations. (A) True anteroposterior view. (B) Axillary view. (C) Scapular Y Lateral.
Figure 3
Figure 3
Magnetic resonance imaging (MRI). MRI showed supraspinatus and infraspinatus intramuscular hyperintensity in T2-weighted sequence (C-D), global atrophy of the periscapular musculature associated with initial fatty infiltration (E-F), without lesions in the tendinous portion of the rotator cuff (A-B).
Figure 4
Figure 4
Magnetic resonance imaging diffusion neurography. Adequate visualization of the three main trunks on each side (A-B), with greater signal intensity on the Right in T2-weighted and STIR images (C-D), distinguishing part of the suprascapular nerve, in its retro and infraclavicular path, especially of the medial and posterior fascicles (thin arrows). The measurements of anisotropic fractions and apparent diffusion coefficient, compared with the healthy side (Left), showed a tendency to isotropy (structural disorganization of the nervous elements), compatible with PTS (E). With the administration of contrast medium, no abnormal reinforcement foci are observed (F). This signal asymmetry is of probable inflammatory etiology. PTS, Parsonage-Turner syndrome; STIR, short tau inversion recovery.
Figure 5
Figure 5
Inspection at 4 months. At 6 months, the patient was discharged without symptoms, complete mobility (A-C), recovered strength, and carrying out life and work without complications.
See this image and copyright information in PMC

References

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