Gariani Karim, Magistris Michel R, Nendaz Mathieu R
Division of General Internal Medicine, Department of Internal Medicine, Geneva University Hospitals, Geneva, Switzerland.
Case Rep Neurol. 2011 May;3(2):165-71. doi: 10.1159/000330571. Epub 2011 Jul 21.
We report the case of an 86-year-old man with acute left shoulder pain, followed by left limb monoparesis and a herpetic rash on the left upper limb and thoracic region. This situation presented a diagnostic challenge because of the simultaneity of symptoms attributable to Parsonage-Turner syndrome and herpes zoster neuropathy. A detailed clinical history, physical examination and electroneuromyography were essential to distinguish the neurological structures involved and to ascertain the diagnosis.
我们报告了一例86岁男性患者，该患者起初出现急性左肩疼痛，随后出现左上肢单瘫，且左上肢和胸部出现疱疹样皮疹。由于存在帕森奇-特纳综合征和带状疱疹性神经病所致症状同时出现的情况，这一病例带来了诊断挑战。详细的临床病史、体格检查和神经电生理检查对于明确受累神经结构及确诊至关重要。
