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Parsonage-Turner 综合征,在职业摔跤手接种 COVID-19 疫苗后影响肩胛上神经,特别是冈下肌,病例报告及病因和治疗的文献复习。

Parsonage-Turner syndrome, affecting suprascapular nerve and especially to infraspinatus muscles after COVID-19 vaccination in a professional wrestler, a case report and literature review of causes and treatments.

机构信息

Student Research Committee, Department of Physical Therapy, Faculty of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Department of Orthopedics, Knee and Sport Medicine Education and Research Center, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

出版信息

BMC Neurol. 2024 Jun 5;24(1):187. doi: 10.1186/s12883-024-03694-0.

Abstract

BACKGROUND

Acute peripheral neuropathy, also known as Parsonage-Turner syndrome or neuralgic amyotrophy, mostly affects the upper brachial plexus trunks, which include the shoulder girdle. It is typically accompanied by abrupt, intense pain, weakness, and sensory disruption. The etiology and causes of this disease are still unknown because of its low prevalence, however viral reactions-induced inflammation is one of its frequent causes.

CASE PRESENTATION

Here, we introduce a professional wrestler patient who was diagnosed with PTS after vaccination and was treated, and we review some articles in this field.

CONCLUSION

When it comes to shoulder-girdle complaints and pain, Parsonage-Turner syndrome can be a differential diagnosis. Corticosteroids during the acute period, followed by physical therapy, appear to be an efficient way to manage pain, inflammation, muscular atrophy, and the process of recovering to full nerve regeneration.

摘要

背景

急性周围神经病,又称颈肋综合征或神经痛性肌萎缩,主要影响包括肩带的上臂丛干。它通常伴有突然、剧烈的疼痛、无力和感觉障碍。由于其发病率低,这种疾病的病因和原因尚不清楚,但病毒反应引起的炎症是其常见原因之一。

病例介绍

在这里,我们介绍了一位职业摔跤手患者,他在接种疫苗后被诊断为 PTS 并接受了治疗,我们还回顾了该领域的一些文章。

结论

当涉及到肩部抱怨和疼痛时,颈肋综合征可以作为鉴别诊断。急性期使用皮质类固醇,随后进行物理治疗,似乎是一种有效治疗疼痛、炎症、肌肉萎缩和恢复到完全神经再生过程的方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f05b/11151581/c391505c4dc9/12883_2024_3694_Fig1_HTML.jpg

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