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DOI: 10.1055/s-0042-1750756
Bilateral Brachial Neuritis after COVID-19: Case Report
Article in several languages: português | EnglishFinancial Support The authors declare that the present study did not receive any form of financial support.

Abstract
Brachial neuritis, or Parsonage-Turner syndrome, is a rare disease characterized by a sudden, self-limiting pain in the upper limb followed by weakness and atrophy of the shoulder girdle muscles. Bilateral brachial plexus involvement occurs in between 10 and 30% of the patients, but symptoms are usually asymmetrical. The most common etiological factors include infection (25 to 55%) and autoimmune conditions. Up to 16% of the patients infected by the new coronavirus variant (SARS-CoV2) had neuromuscular complications. We present the case of a patient with bilateral Parsonage-Turner syndrome shortly after severe COVID-19.
Work carried out at the Department of Orthopedics and Traumatology, Santa Casa de Misericórdia de São Paulo, São Paulo, SP, Brazil.
Publication History
Received: 07 April 2021
Accepted: 31 August 2021
Article published online:
27 December 2024
© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)
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Referências
- 1 Sathasivam S, Lecky B, Manohar R, Selvan A. Neuralgic amyotrophy. J Bone Joint Surg Br 2008; 90 (05) 550-553
- 2 Parsonage MJ, Turner JW. Neuralgic amyotrophy; the shoulder-girdle syndrome. Lancet 1948; 1 (6513): 973-978
- 3 Stutz CM. Neuralgic amyotrophy: Parsonage-Turner Syndrome. J Hand Surg Am 2010; 35 (12) 2104-2106
- 4 Smith CC, Bevelaqua AC. Challenging pain syndromes: Parsonage-Turner syndrome. Phys Med Rehabil Clin N Am 2014; 25 (02) 265-277
- 5 van Alfen N, van Engelen BG. The clinical spectrum of neuralgic amyotrophy in 246 cases. Brain 2006; 129 (Pt 2): 438-450
- 6 Santos RBM, Santos SM, Leal F, Lins OG, Magalhães C, Fittipaldi RBM. Síndrome de Parsonage-Turner. Rev Bras Ortop 2015; 50 (03) 336-341
- 7 Oliveira SG, Pombo EH, Batista PR, Cardoso IM, Rezende R. Síndrome de Parsonage-Turner: relato de caso em paciente HIV soropositivo. Rev Bras Ortop 2010; 45 (04) 456-459
- 8 Cheng ZJ, Shan J. 2019 Novel coronavirus: where we are and what we know. Infection 2020; 48 (02) 155-163
- 9 Needham E, Newcombe V, Michell A. et al. Mononeuritis multiplex: an unexpectedly frequent feature of severe COVID-19. J Neurol 2020; 1-5
- 10 Mitry MA, Collins LK, Kazam JJ, Kaicker S, Kovanlikaya A. Parsonage-turner syndrome associated with SARS-CoV2 (COVID-19) infection. Clin Imaging 2021; 72: 8-10
- 11 Siepmann T, Kitzler HH, Lueck C, Platzek I, Reichmann H, Barlinn K. Neuralgic amyotrophy following infection with SARS-CoV-2. Muscle Nerve 2020; 62 (04) E68-E70
- 12 Coll C, Tessier M, Vandendries C, Seror P. Neuralgic amyotrophy and COVID-19 infection: 2 cases of spinal accessory nerve palsy. Joint Bone Spine 2021; 88 (05) 105196
- 13 Scalf RE, Wenger DE, Frick MA, Mandrekar JN, Adkins MC. MRI findings of 26 patients with Parsonage-Turner syndrome. AJR Am J Roentgenol 2007; 189 (01) W39-44