Parsonage-Turner Syndrome

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Parsonage-Turner Syndrome - March 3, 2006 2:10:00 PM

tgrim

Posts: 14
Joined: March 13, 2002
From: Cumberland, MD, USA
Status: offline

I recently evaluated a patient presenting with right upper extremity pain, weakness, and parasthesias s/p open heart surgery. The patient intially presented with a non-specific brachial plexus injury and potential thoracic outlet syndrome. Follwing NCV studies the patient was provided the diagnosis of Parsonage-Turner Sydrome or brachial plexus neuritis. Neurological examination revealed involvement of root levels C6 to T1. Motor involvement was noted throughout all root levels, however most notably in C6/7, and C8/T1. Parasthesias were noted throughout the C8 and T1 dermatomes. In addition, special tests for thoracic outlet syndrome were found to be positive.

I would appreciate any insight into this pathology, course of recovery, and physical therapy treatment options.

Thanks,
tgrim

Post #: 1

Re: Parsonage-Turner Syndrome - March 3, 2006 3:00:00 PM

jma

Posts: 2312
Joined: August 24, 2000
From: NY
Status: offline

Here is one article that may help you get started. Perhaps the references listed can supply the rest of the info you are looking for.

Mamula CJ, Erhard RE, Piva SR.
Cervical radiculopathy or Parsonage-Turner syndrome: differential diagnosis of a patient with neck and upper extremity symptoms.
J Orthop Sports Phys Ther. 2005 Oct;35(10):659-64.
PMID: 16294987

(in reply to tgrim)