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She had undergone a dental surgery for dental caries 2 weeks before the symptoms started. Her symptoms started about 10 months earlier as severe acute pain in the left shoulder, jaw, and chest. 3 CASE DESCRIPTIONĪ 35-year-old female presented with pain and severe progressive weakness of the left shoulder. The authors’ case is only the second report in the medical literature that shows this unique combination of brachial plexus, phrenic nerve, and recurrent laryngeal nerve palsies. While the typical presentation of PTS involves brachial plexus, other nerves like the lumbosacral plexus, phrenic nerves, and recurrent laryngeal nerves are rarely affected. 1,2 This condition, also known as brachial plexopathy, is centred around inflammatory damage to specific peripheral nerve bundles as evidenced by histopathologic and neurophysiologic studies (see Diagnostic Tests). It is thought to occur in 1–3 people in 100,000 however, this incidence might be an underestimation because of underdiagnosis. Parsonage–Turner Syndrome (PTS) is a rare autoimmune disease of the peripheral nervous system. This bears evidence that steroids and adjuvant therapy is useful even months after onset of the disease. This case was also remarkable for the significant improvement in her symptoms with treatment, despite the delay in diagnosis. The patient has recovered significantly since then and continues to improve.Ĭonclusion: The authors presented a case of PTS with a rare combination of brachial plexus, recurrent laryngeal nerve, and phrenic nerve injuries. A clinical diagnosis of exclusion of PTS was finally made, and treatment with steroids, neurotropic drugs, and physiotherapy was started.
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The symptoms remained undiagnosed for about 10 months. The 35-year-old female presented with acute onset of severe left shoulder pain followed by severe progressive weakness of the left shoulder muscles, progressive weakness of her voice, nasal regurgitation of fluids, paroxysmal bouts of coughing, and exertional dyspnoea at rest. They also highlight successful treatment with pharmacological intervention despite several months’ delay in diagnosis. The authors present a case of PTS with a rare combination of unilateral brachial plexus, phrenic nerve, and recurrent laryngeal nerve injuries. The limited data available typically describes involvement of branches of brachial nerves. Introduction: Parsonage–Turner Syndrome (PTS) is a rare disease of the brachial plexus of unclear aetiology.