keyword
https://read.qxmd.com/read/38497190/covid-19-vaccine-related-cervical-radiculitis-and-parsonage-turner-syndrome-case-report-and-review-of-the-literature
#1
REVIEW
Zachary C Taylor, Ravi S Nunna, Angela Tran, Matías Costa, Maxwell Gruber, Periklis Godolias, Zachary Litvack
Parsonage-Turner Syndrome, or neuralgic amyotrophy, is an acute-onset upper limb and shoulder girdle palsy that can occur in a post-viral, post-surgical or idiopathic setting. There have also been some reported cases of the syndrome occurring following vaccinations. The pathophysiology of neuralgic amyotrophy is not completely understood and many of the commonly used diagnostic imaging modalities we use to try and diagnose this syndrome are inaccurate and misleading. We present the case of a 40-year-old gentleman who presented with acute onset burning pain and fasciculations in his right upper extremity following vaccination with the second dose of the Pfizer-BioNTech COVID-19 vaccine...
2024: Turkish Neurosurgery
https://read.qxmd.com/read/38433118/electrodiagnostic-studies-and-new-diagnostic-modalities-for-evaluation-of-peripheral-nerve-disorders
#2
REVIEW
Andrew Hannaford, Elijah Paling, Matthew Silsby, Sanne Vincenten, Nens van Alfen, Neil G Simon
Electrodiagnostic studies (EDx) are frequently performed in the diagnostic evaluation of peripheral nerve disorders. There is increasing interest in the use of newer, alternative diagnostic modalities, in particular imaging, either to complement or replace established EDx protocols. However, the evidence to support this approach has not been expansively reviewed. In this paper, diagnostic performance data from studies of EDx and other diagnostic modalities in common peripheral nerve disorders have been analyzed and described, with a focus on radiculopathy, plexopathy, compressive neuropathies, and the important neuropathy subtypes of Guillain-Barré syndrome, chronic inflammatory demyelinating polyradiculoneuropathy (CIDP), vasculitic neuropathy and diabetic neuropathy...
March 3, 2024: Muscle & Nerve
https://read.qxmd.com/read/38348170/neuralgic-amyotrophy-with-multiple-hourglass-like-constrictions-of-anterior-interosseous-nerve-a-case-report
#3
Fangling Shi, Xiaoling Zhou, Xueyuan Li
Hourglass-like constrictions (HLCs) of peripheral nerves in the upper extremity were a rare form of neuralgic amyotrophy, often characterized by the sudden onset of pain in the shoulder or arm, followed by muscle weakness and amyotrophy, with limited sensory involvement. We present a case of multiple HLCs of the anterior interosseous nerve (AIN) in a 22-year-old female with left upper arm pain, finger numbness, and limited activity for 1 month. Physical examination showed weakness of the left index flexor digitorum profundus and flexor pollicis longus, with mild hypoesthesia in the first three fingers and the radial half of the ring finger...
2024: Frontiers in Neurology
https://read.qxmd.com/read/38272037/-neuralgic-amyotrophy-an-inflammatory-neuropathy-and-its-surgical-treatment
#4
JOURNAL ARTICLE
Peter Pöschl, Mirko Pham, Maria Teresa Pedro, Gregor Antoniadis
BACKGROUND: Neuralgic amyotrophy (NA) is a monofocal or oligofocal inflammatory neuropathy whose incidence has been significantly underestimated. A connection between constrictions and torsions of peripheral nerves with this disease has been increasingly established in recent years. Modern imaging techniques such as high-resolution nerve ultrasound and MR neurography have contributed to a better understanding of the pathophysiology and a better assessment of the prognosis of the disease...
January 25, 2024: Handchirurgie, Mikrochirurgie, Plastische Chirurgie
https://read.qxmd.com/read/38248282/neuralgic-amyotrophy-and-hourglass-nerve-constriction-nerve-torsion-two-sides-of-the-same-coin-a-clinical-review
#5
REVIEW
Giuseppe Granata, Fabiola Tomasello, Maria Ausilia Sciarrone, Vito Stifano, Liverana Lauretti, Marco Luigetti
Neuralgic amyotrophy, also called Parsonage-Turner syndrome, in its classic presentation is a brachial plexopathy or a multifocal neuropathy, involving mainly motor nerves of the upper limb with a monophasic course. Recently, a new radiological entity was described, the hourglass constriction, which is characterized by a very focal constriction of a nerve, or part of it, usually associated with nerve thickening proximally and distally to the constriction. Another condition, which is similar from a radiological point of view to hourglass constriction, is nerve torsion...
January 10, 2024: Brain Sciences
https://read.qxmd.com/read/38226557/a-patient-with-bilateral-neuralgic-amyotrophy-and-hepatitis-e-virus-infection-an-educational-communication
#6
JOURNAL ARTICLE
Bojan Rojc, Nejc Šarabon
Neuralgic Amyotrophy, a peripheral nervous system disorder, is characterized by severe pain and muscle weakness, which can have a significant impact on patients' quality of life. The exact cause of neuralgic amyotrophy is unknown, but it may be linked to immunopathological mechanisms. Recent research has found an association between neuralgic amyotrophy and hepatitis E virus infection. This communication aims to expand knowledge on the clinical phenotype of patients with neuralgic amyotrophy and hepatitis E virus infection, presenting the case of a 55-year-old man diagnosed with bilateral neuralgic amyotrophy and hepatitis E virus infection...
January 15, 2024: European Journal of Translational Myology
https://read.qxmd.com/read/38176820/parsonage-turner-syndrome-and-hereditary-brachial-plexus-neuropathy
#7
REVIEW
James B Meiling, Andrea J Boon, Zhiyv Niu, Benjamin M Howe, Sumedh S Hoskote, Robert J Spinner, Christopher J Klein
Parsonage-Turner syndrome and hereditary brachial plexus neuropathy (HBPN) present with indistinguishable attacks of rapid-onset severe shoulder and arm pain, disabling weakness, and early muscle atrophy. Their combined incidence ranges from 3 to 100 in 100,000 persons per year. Dominant mutations of SEPT9 are the only known mutations responsible for HBPN. Parsonage and Turner termed the disorder "brachial neuralgic amyotrophy," highlighting neuropathic pain and muscle atrophy. Modern electrodiagnostic and imaging testing assists the diagnosis in distinction from mimicking disorders...
January 2024: Mayo Clinic Proceedings
https://read.qxmd.com/read/38072441/-mr-neurography-reveals-fascicular-constriction-of-the-median-nerve-in-a-patient-with-neuralgic-amyotrophy
#8
JOURNAL ARTICLE
Tomoya Kawazoe, Ryo Morishima, Yasuhiro Nakata, Keizo Sugaya, Toshio Shimizu, Kazushi Takahashi
Diagnosing neuralgic amyotrophy can be challenging in clinical practice. Here, we report the case of a 37-years old Japanese woman who suddenly developed neuropathic pain in the right upper limb after influenza vaccination. The pain, especially at night, was severe and unrelenting, which disturbed her sleep. However, X-ray and MRI did not reveal any fractures or muscle injuries, and brain MRI did not reveal any abnormalities. During neurological consultation, she was in a posture of flexion at the elbow and adduction at the shoulder...
December 8, 2023: Rinshō Shinkeigaku, Clinical Neurology
https://read.qxmd.com/read/37943327/-diagnostics-and-treatment-of-hourglass-like-nerve-constrictions-and-torsions-in-neuralgic-amyotrophy
#9
JOURNAL ARTICLE
Christian Hagemann, Gregor Antoniadis, Mirko Pham, Christian Bischoff, Tanupriya Ghosh, Thomas Grieser, Markus Naumann, Korbinian Holzapfel
Neuralgic amyotrophy is a disease of the peripheral nervous system characterized by severe neuropathic pain followed by peripheral paralysis. A distinction is made between a hereditary and an idiopathic form, which is assumed to have an autoimmunological origin. Conservative medicinal treatment mainly consists of nonsteroidal anti-inflammatory drugs (NSAID), opioids and glucocorticoids; however, despite treatment, symptoms in the form of pain or paralysis persist in over 50% of cases. Inflammation can lead to strictures and torsions of peripheral nerves, which can be visualized by imaging using nerve sonography or magnetic resonance (MR) neurography and confirmed intraoperatively during surgical exploration...
November 9, 2023: Der Nervenarzt
https://read.qxmd.com/read/37904460/neuralgic-amyotrophy-sensitivity-and-specificity-of-magnetic-resonance-neurography-in-diagnosis-a-retrospective-study
#10
JOURNAL ARTICLE
Luyao Duan, Liyang Zhao, Ying Liu, Yizhe Zhang, Wensong Zheng, Xiaoman Yu, Hongran Liu, Zequn Li, Zhigang Peng, Xiaona Li
BACKGROUND: Neuralgic amyotrophy (NA) is a clinically acute or subacute disease. To study the characteristics of brachial plexus magnetic resonance neurography (MRN) in patients with NA, and to explore the clinical application value of MRN combined with electromyography (EMG) in the diagnosis of NA. METHODS: Brachial plexus MRN images of 32 patients with NA were retrospectively analyzed, and their characteristics were investigated. The accuracy, sensitivity and specificity of MRN, EMG, and the combination of the 2 methods for NA diagnosis were compared...
October 27, 2023: Medicine (Baltimore)
https://read.qxmd.com/read/37807679/high-resolution-mr-neurography-follow-up-of-sars-cov-2-vaccination-associated-neuralgic-amyotrophy
#11
JOURNAL ARTICLE
Christoph M Mooshage, Henrich Kele, Martin Bendszus, Daniel Schwarz
Little is known about the value of high-resolution follow-up imaging in patients with neuralgic amyotrophy (NA) and the question of the best treatment algorithm remains unclear. Three patients (one female, two male) with the clinical presentation of SARS-CoV-2-vaccination-associated NA underwent initial magnetic resonance neurography (MRN) imaging and follow-up examinations. All patients showed a marked clinical improvement, independent of treatment, including an almost full recovery of motor function over the course of 8-12 months which was accurately mirrored by imaging findings on MRN...
October 8, 2023: Annals of Clinical and Translational Neurology
https://read.qxmd.com/read/37791346/application-of-a-nerve-stereoscopic-reconstruction-technique-based-on-ultrasonic-images-in-the-diagnosis-of-neuralgic-amyotrophy
#12
JOURNAL ARTICLE
Miao Yu, Wenquan Ding, Guoqing Shao, Miaozhong Li, Xiaoling Zhou, Linhai Liu, Xueyuan Li
Objective: To propose a nerve stereoscopic reconstruction technique based on ultrasound imaging for site diagnosis, intuitive reflection of disease severity, and classification of neuralgic amyotrophy (NA). Methods: We enrolled 44 patients with NA who underwent high-frequency ultrasonography examination. Multiple sites on the normal side and the affected side were scanned to calculate the ratio of the cross-section area (CSA) of the affected side to the normal side at each location measured, i.e., the cross-section area swelling ratio (CSASR)...
2023: Frontiers in Physiology
https://read.qxmd.com/read/37758485/persistent-hourglass-constriction-in-recovered-anterior-interosseous-nerve-palsy-due-to-neuralgic-amyotrophy-a-case-report
#13
JOURNAL ARTICLE
Satish Mane, Kazuteru Doi, Yasunori Hattori, Sotetsu Sakamoto
The current articles recommended the interfascicular neurolysis for anterior interosseous nerve (AIN) palsy with hourglass-like fascicular constrictions (FCs) detected by ultrasonography or surgical exploration to realign to the fascicular torsion for those who failed to recover spontaneously. We present the case report of spontaneous AIN palsy recovered after conservative treatment; however, ultrasonographic findings showed persistent FCs of AIN in the arm at the beginning, at 6 weeks, and subsequent 3-year follow-ups, even after complete clinical recovery of palsy...
September 25, 2023: Journal of Hand Surgery Asian-Pacific Volume
https://read.qxmd.com/read/37737892/neurological-manifestation-of-hev-infection-still-a-rare-disease-entity
#14
JOURNAL ARTICLE
Maximilian Wiesenfarth, Thomas Stamminger, Eugen Zizer, Hayrettin Tumani, Albert C Ludolph
Hepatitis E virus (HEV) infection is the most common form of viral hepatitis and is reported to cause neurological manifestation in up to 30% of diagnosed infections. We evaluated the medical reports of all patients (n = 29,994) who were discharged from the Department of Neurology of Ulm University between 01.01.2015 and 30.09.2022 to detect neurological manifestations of HEV. In addition, we retrospectively analyzed the serum samples of n = 99 patients representing different neurological diseases possibly related to HEV for anti-HEV-IgM and anti-HEV-IgG...
January 2024: Journal of Neurology
https://read.qxmd.com/read/37647918/-neuralgic-amyotrophy-a-common-cause-of-unilateral-and-bilateral-diaphragmatic-pareses
#15
JOURNAL ARTICLE
Maximilian Zimmermann, Maximilian Wollsching-Strobel, Daniel Sebastian Majorski, Doreen Kroppen, Sarah Bettina Schwarz, Melanie Berger, Wolfram Windisch, Johannes Fabian Holle
There are several causes for unilateral or bilateral diaphragmatic paresis. The most common cause is an (intraoperative) injury to the phrenic nerve.However, in up to 20% of cases, no explanation can be found despite extensive workup. Neuralgic amyotrophy (NA, also known as Parsonage-Turner syndrome) is a common underdiagnosed multifocal autoimmune-inflammatory disease that predominantly affects proximal nerve segments of the upper extremities. Classic symptoms include acute onset of severe pain in the shoulder girdle with delayed onset of paresis of the shoulder and arm muscles...
August 30, 2023: Pneumologie
https://read.qxmd.com/read/37610034/hourglass-like-constrictions-on-mri-are-common-in-electromyography-confirmed-cases-of-neuralgic-amyotrophy-parsonage-turner-syndrome-a-tertiary-referral-center-experience
#16
JOURNAL ARTICLE
Darryl B Sneag, Casey Urban, Tim Y Li, Philip G Colucci, Emily G Pedrick, Clare A Nimura, Joseph H Feinberg, Carlo J Milani, Ek T Tan
INTRODUCTION/AIMS: Hourglass-like constrictions (HGCs) of involved nerves in neuralgic amyotrophy (NA) (Parsonage-Turner syndrome) have been increasingly recognized with magnetic resonance neurography (MRN). This study sought to determine the sensitivity of HGCs, detected by MRN, among electromyography (EMG)-confirmed NA cases. METHODS: This study retrospectively reviewed records of patients with the clinical diagnosis of NA, and with EMG confirmation, who underwent 3-Tesla MRN within 90 days of EMG at a single tertiary referral center between 2011 and 2021...
August 23, 2023: Muscle & Nerve
https://read.qxmd.com/read/37587058/hereditary-neuralgic-amyotrophy-with-a-lesion-distal-to-the-brachial-plexus-on-magnetic-resonance-imaging
#17
JOURNAL ARTICLE
Shuntaro Ueno, Takahisa Tateishi, Maki Ueda, Akiko Yorita, Naonori Sakurada, Taiga Moritaka, Takayuki Taniwaki
A 35-year-old woman first experienced left upper limb weakness at 17 years old, after which it repeatedly recurred and then remitted. She was diagnosed with carpal tunnel syndrome with median nerve hyperintensity by magnetic resonance imaging (MRI). Surgical treatment was ineffective. We suspected hereditary neuralgic amyotrophy because of enlargement distal to the brachial plexus on MRI and administered steroid therapy, after which the weakness improved. Genetic testing revealed a point mutation in SEPT9. Because lesions outside the brachial plexus can be seen in hereditary neuralgic amyotrophy, the diagnosis should be based on typical characteristics and the family history...
2023: Internal Medicine
https://read.qxmd.com/read/37562888/autoimmune-polyneuropathies
#18
REVIEW
Ryan Naum, Kelly Graham Gwathmey
The autoimmune peripheral neuropathies with prominent motor manifestations are a diverse collection of unusual peripheral neuropathies that are appreciated in vast clinical settings. This chapter highlights the most common immune-mediated, motor predominant neuropathies excluding acute, and chronic inflammatory demyelinating polyradiculoneuropathy (AIDP and CIDP, respectively). Other acquired demyelinating neuropathies such as distal CIDP and multifocal motor neuropathy will be covered. Additionally, the radiculoplexus neuropathies, resulting from microvasculitis-induced injury to nerve roots, plexuses, and nerves, including diabetic and nondiabetic lumbosacral radiculoplexus neuropathy and neuralgic amyotrophy (i...
2023: Handbook of Clinical Neurology
https://read.qxmd.com/read/37548584/neuropathies-related-to-hepatitis-e-virus-infection-a-prospective-matched-case-control-study
#19
MULTICENTER STUDY
Paolo Ripellino, Agustina Maria Lascano, Olivier Scheidegger, Lenka Schilg-Hafer, Bettina Schreiner, Pinelopi Tsouni, Alex Vicino, Anne-Kathrin Peyer, Andrea Monika Humm, Bernhard Friedrich Décard, Enea Pianezzi, Giulia Zezza, Davide Sparasci, Thomas Hundsberger, Anelia Dietmann, Hans Jung, Thierry Kuntzer, Einar Wilder-Smith, Gladys Martinetti-Lucchini, Orlando Petrini, Stefano Fontana, Peter Gowland, Christoph Niederhauser, Claudio Gobbi
BACKGROUND: Acute hepatitis E virus (HEV) infection has recently emerged as a potential trigger for acute dysimmune neuropathies, but prospective controlled studies are lacking. AIMS: To compare the frequency of concomitant acute HEV infection in patients with neuralgic amyotrophy (NA), Guillain-Barré syndrome (GBS), and Bell's palsy with a matched control population. METHODS: Swiss multicenter, prospective, observational, matched case-control study over 3 years (September 2019-October 2022)...
January 2024: European Journal of Neurology
https://read.qxmd.com/read/37523491/association-of-parsonage-turner-syndrome-with-covid-19-infection-and-vaccination-a-systematic-review
#20
REVIEW
Muhammad Zain Ameer, Ata Ul Haiy, Muhammad Hassan Bajwa, Huzaifa Abeer, Biah Mustafa, Fatima Ameer, Zunaira Amjad, Aqeeb Ur Rehman
OBJECTIVES: The exact etiology of Parsonage-Turner syndrome is unknown, but it is known to be preceded by infection, vaccination, or surgical intervention. In this review, we describe associations of Parsonage-Turner syndrome with COVID-19 infection and vaccination. METHODS: A systematic literature search was conducted using PubMed/MEDLINE, ScienceDirect, and Google Scholar. Microsoft Excel was used for data extraction and statistical analysis. The quality of case reports and case series was assessed using the Joanna Briggs Institute Critical Appraisal Tool...
July 2023: Journal of International Medical Research
keyword
keyword
53347
1
2
Fetch more papers »
Fetching more papers... Fetching...
Remove bar
Read by QxMD icon Read
×

Save your favorite articles in one place with a free QxMD account.

×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"

We want to hear from doctors like you!

Take a second to answer a survey question.