3 years ago

Síndrome de Parsonage-Turner: desconocido pero no infrecuente. A propósito de 6 casos

C.m. Martínez Bermúdez, I. Fernández De Gea, B. Yusá Cubes, H. Valera Martínez

Publication date: Available online 5 June 2018

Source: Rehabilitación

Author(s): C.M. Martínez Bermúdez, I. Fernández de Gea, B. Yusá Cubes, H. Valera Martínez

Resumen

El hombro doloroso es un motivo de consulta habitual en Urgencias, Atención Primaria y algunas especialidades. El síndrome de Parsonage-Turner debe formar parte del diagnóstico diferencial de la omalgia aguda. Conocer sus características clínicas y electrofisiológicas nos permitirá evitar iatrogenia. Presentamos 6 casos de síndrome de Parsonage-Turner: un síndrome de etiología desconocida con un cuadro clínico muy característico. Todos comenzaron de forma aguda, con dolor muy intenso de hombro de unas 3 semanas de duración. Tras la resolución de esta primera fase, se evidencia una debilidad marcada del miembro superior con atrofia de los músculos afectados por la neuropatía. Una constante en todos fue el hallazgo de escápula alada. Un caso presentó alteración sensitiva y otro, parálisis hemidiafragmática. Tras la sospecha clínica y la exploración física completa, fueron sometidos a una exploración electromiográfica que confirmó el diagnóstico. Se pautó tratamiento analgésico y rehabilitador.

Abstract

Shoulder pain is a common reason for seeking emergency, primary and specialist care. Parsonage-Turner syndrome should form part of the differential diagnosis of shoulder pain. Familiarity with the clinical and electrophysiological characteristics of this syndrome could help prevent iatrogenic disease. We present 6 cases of Parsonage-Turner syndrome, a syndrome of unknown etiology with a typical clinical picture. All patients had acute onset of the syndrome with intense shoulder pain of approximately 3 weeks’ duration. After this phase ended, there was noticeable weakness of the affected arm, causing muscular atrophy depending on the muscles affected by the neuropathy. Winged scapula was present in all patients. One patient showed alteration of sensitivity and another showed hemidiaphragmatic paralysis. After a complete physical examination, the patients underwent electromyographic study that confirmed the diagnosis. Analgesic treatment and rehabilitation were prescribed.

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