Parsonage Turner Syndrome
67 year young lady 4 weeks of acute right neck, arm pain to right hand with tingling and numbness in her right hand and arm too. She denies previous cold or infection weeks the onset of her symptoms.
MRI showed a narrow spinal canal due to degenerative disc disease. A neurosurgeon ordered myelogram which confirmed narrowed cervical canal.
She had anterior cervical discectomy and fusion surgery done. This failed to relieve her pain.
She had pronounced right arm weakness, numbness and severe pain. She also had difficulty breathing whens he lays flat. She had to sleep sitting up.
Nerve conduction study confirmed right brachial plexopathy.
Diagnosis: Parsonage Turner syndrome
Treatment: she was put on morphine for pain control which was weaned off in 3 months. Physical therapy eventually restored 80% of her right arm strength. She still has right phrenic nerve palsy with hemidiaphragm hernia.