Department of Orthopaedics and Traumatology CHUV, Lausanne University Hospital, Lausanne, Switzerland
University of Lausanne, Lausanne, Switzerland.
BMJ Case Rep. 2024 Oct 17;17(10):e258334. doi: 10.1136/bcr-2023-258334.
Parsonage-Turner syndrome following monkeypox infection is a rare form of peripheral neuropathy seen in orthopaedic practice and described only once in the literature. We present the case of a man in his 30s with severe shoulder pain and subsequent amyotrophy 2 weeks after monkeypox infection. Our report encompasses the initial findings, radiographic examinations and follow-up over a 6-month period. To confirm the diagnosis, MRI and electrostimulation conduction studies were conducted, highlighting their importance as valuable diagnostic tools in conjunction with a thorough physical examination. Supportive treatment, including physical therapy and pain management, forms the cornerstone of management, while surgical intervention is reserved for refractory cases or when mechanical complications arise. Prognosis varies among individuals. This case report expands the understanding of neurological complications of monkeypox infection. Clinicians should include Parsonage-Turner syndrome in their differential diagnosis for patients presenting with symptoms of peripheral brachial plexus neuropathy following viral infections, including monkeypox.
猴痘感染后出现的帕森斯-特纳综合征是一种罕见的周围神经病,在矫形实践中可见,并仅在文献中描述过一次。我们报告了一例 30 多岁的男性,在猴痘感染后 2 周出现严重的肩部疼痛和随后的肌萎缩。我们的报告包括最初的发现、影像学检查和 6 个月的随访。为了确认诊断,进行了 MRI 和电刺激传导研究,强调了它们作为有价值的诊断工具的重要性,结合了彻底的体格检查。支持性治疗,包括物理治疗和疼痛管理,是治疗的基石,而手术干预则保留给难治性病例或出现机械并发症时。预后因人而异。本病例报告扩展了对猴痘感染神经并发症的认识。临床医生应将帕森斯-特纳综合征纳入他们对患有病毒性感染(包括猴痘)后出现周围臂丛神经病症状的患者的鉴别诊断中。