Acta Pediátrica Española

ISSN 2014-2986

Información adicional

  • Num_publicacion 76(9-10)
  • Resumen_ingles
    Introduction: Parsonage-Turner syndrome is a brachial plexus neuritis of unknow etiology. An autoinmune mecha-nism is suspected because of its appearance after infections. It predominantly affects proximal muscles of upper ex-tremities, with a first painful phase, which evolves to paresis and atrophy of the affected muscles. His description in pediatric patients is limited to isolated cases. 
    Case report: 14 months infant consulting for weakness of upper limbs. He had an upper respiratory tract infection the previous days. Examination revealed weakness of the proximal muscles of the both arms, more marked on the right side and inability to active mobility simulating a pulled elbow. Magnetic resonance imaging of neck and shoulder showed no structural pathology. The electromyogram performed at 3 weeks of the onset of symptoms demonstrated acute denervation of the proximal arm muscles compatible with bilateral brachial plexitis. Rhinovirus was detected in polimerasa chain reaction in nasopharyngeal aspirate.
    Conclusions: Parsonage-Turner syndrome is an entity to consider in painful shoulder or upper limb functional impo-tence, as pulled elbow. Diagnosis is based on clinical findings. It’s useful to rule one MRI and EMG (which must be per-formed 2-3 weeks after onset). It has spontaneous evolution partially favorable to rehabilitation and anti-inflammatory treatment. Knowledge of this entity allows proper handling, avoiding iatrogenic treatments, and allows anticipate the outcome. 
     
  • Palabras_clave_ingles Amyotrophic neuralgia Brachial neuritis Parsonage Turner syndrome
  • Todos_autores L. Caride López, A. Amado Puentes, A. Currás Filgueira, M.O. Blanco Barca, J.R. Fernández Lorenzo
  • autores listados L. Caride López, A. Amado Puentes, A. Currás Filgueira, M.O. Blanco Barca, J.R. Fernández Lorenzo
  • Correspondecia
    L. Caride López. Servicio de Pediatría. Hospital Álvaro Cunqueiro. Estrada Clara Campoamor, 341. 36312 Vigo (Pontevedra).
    Correo electrónico: lauracaridelopez@sergas.es
  • Titulo_ingles Parsonage-Turner syndrome "pulled elbow-like" presentation form
  • Centros_trabajo Servicio de Pediatría. Hospital Álvaro Cunqueiro. Vigo (Pontevedra)
  • Publicado en Acta Pediatr Esp. 2018; 76(9-10): e152-e154
  • copyright ©2018 Ediciones Mayo, S.A.
  • Fecha recepcion 25/05/17
  • Fecha aceptacion 5/02/18
  • Tipo de Artículo Clínico (Microdatos) Case Reports
Publicado en Notas clínicas
Sección patrocinada
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