Parsonage-Turner syndrome revealing Lyme borreliosis

Joint, Bone, Spine : Revue Du Rhumatisme
Daniel WendlingFabrice Michel

Abstract

Parsonage-Turner syndrome, also known as acute brachial neuritis or neuralgic amyotrophy, can be caused by various infectious agents. We report on four patients who experienced Parsonage-Turner syndrome as the first manifestation of Lyme disease. The clinical picture was typical, with acute shoulder pain followed rapidly by weakness and wasting of the shoulder girdle muscles. Electrophysiological testing showed denervation. A single patient reported erythema chronicum migrans after a tick bite. Examination of the cerebrospinal fluid showed lymphocytosis and protein elevation in 3 patients. Serological tests for Lyme disease were positive in the serum in all 4 patients and in the cerebrospinal fluid in 2 patients. Antibiotic therapy ensured a favorable outcome in all 4 cases. Two patients achieved a full recovery within 6 months. Parsonage-Turner syndrome should be added to the list of manifestations of neuroborreliosis. Serological tests for Lyme disease should be performed routinely in patients with Parsonage-Turner syndrome.

References

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Apr 21, 2007·Journal of Neurology·Nens van Alfen

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Citations

Oct 10, 2009·AJNR. American Journal of Neuroradiology·A AralasmakU Senol
Dec 15, 2015·Muscle & Nerve·Jeroen J J van EijkNens van Alfen
Jul 4, 2012·The Journal of the American Academy of Orthopaedic Surgeons·Fotios P TjoumakarisNicholas Pulos
Dec 24, 2014·Revue des maladies respiratoires·D Tissier-DucampA Palot
Jul 26, 2015·Journal of Clinical Virology : the Official Publication of the Pan American Society for Clinical Virology·Anaïs DartevelLaurence Bouillet
Dec 27, 2017·PM & R : the Journal of Injury, Function, and Rehabilitation·Shangming ZhangDavid R Gater
Aug 18, 2021·Radiology·Sophie C QuelerDarryl B Sneag

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