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是Parsonage-Turner综合征而非带状疱疹性神经炎?

Parsonage-Turner Syndrome rather than Zoster Neuritis?

作者信息

Gariani Karim, Magistris Michel R, Nendaz Mathieu R

机构信息

Division of General Internal Medicine, Department of Internal Medicine, Geneva University Hospitals, Geneva, Switzerland.

出版信息

Case Rep Neurol. 2011 May;3(2):165-71. doi: 10.1159/000330571. Epub 2011 Jul 21.

Abstract

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.

摘要

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。

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