J Korean Orthop Assoc.  2012 Aug;47(4):311-315. 10.4055/jkoa.2012.47.4.311.

The Purport of Steroid Treatment in the Weakness Phase of Parsonage-Turner Syndrome

• Lee GW
• Kwon YH

• KMID: 2185380
• DOI: http://doi.org/10.4055/jkoa.2012.47.4.311

Abstract

This article presents six cases of Parsonage-Turner syndrome with corticosteroid therapy in the muscle weakness phase. Three cases did not receive injected steroids after the onset of muscle weakness, and were classified as Group 1. The other three cases received injected steroid from just after muscle weakness onset, and were classified as Group 2. This article has a small study group of six cases, but is the first case study about the efficacy of steroids in the muscle weakness phase, showing a better treatment result when steroids were injected during the muscle weakness period. We report these findings, together with a review of the literature.

Keyword

Parsonage-Turner syndrome; corticosteroid

MeSH Terms

Brachial Plexus Neuritis
Muscle Weakness
Steroids
Steroids

Reference

1. Aymond JK, Goldner JL, Hardaker WT Jr. Neuralgic amyotrophy. Orthop Rev. 1989. 18:1275–1279.

2. Mulvey DA, Aquilina RJ, Elliott MW, Moxham J, Green M. Diaphragmatic dysfunction in neuralgic amyotrophy: an electrophysiologic evaluation of 16 patients presenting with dyspnea. Am Rev Respir Dis. 1993. 147:66–71.

3. Parsonage MJ, Turner JW. Neuralgic amyotrophy; the shoulder-girdle syndrome. Lancet. 1948. 1:973–978.

4. James JL, Miles DW. Neuralgic amyotrophy: a clinical and electromyographic study. Br Med J. 1966. 2:1042–1043.

5. Misamore GW, Lehman DE. Parsonage-Turner syndrome (acute brachial neuritis). J Bone Joint Surg Am. 1996. 78:1405–1408.

6. Geertzen JH, Groothoff JW, Nicolai JP, Rietman JS. Brachial plexus neuropathy. A long-term outcome study. J Hand Surg Br. 2000. 25:461–464.

7. Tsairis P, Dyck PJ, Mulder DW. Natural history of brachial plexus neuropathy. Report on 99 patients. Arch Neurol. 1972. 27:109–117.

8. Miled B, Askri A, Sadfi A, et al. Parsonage-Turner syndrome (acute brachial neuritis). A rare cause of scapular pain. Tunis Med. 2010. 88:451–452.

9. van Alfen N, van Engelen BG. The clinical spectrum of neuralgic amyotrophy in 246 cases. Brain. 2006. 129:438–450.

10. Kelkar P, Parry GJ. Noseworthy JH, editor. Brachial plexus disorders. Neurological therapeutics: principles and practice. 2003. London: Martin Dunitz Publishers.