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Recurrent vocal fold paralysis and parsonage-turner syndrome.
[neuralgic amyotrophy]
Background
.
Parsonage-
Turner
syndrome
,
or
neuralgic
amyotrophy
(
NA
)
,
is
an
acute
brachial
plexus
neuritis
that
typically
presents
with
unilateral
shoulder
pain
and
amyotrophy
but
also
can
affect
other
peripheral
nerves
,
including
the
recurrent
laryngeal
nerve
.
Idiopathic
vocal
fold
paralysis
(
VFP
)
represents
approximately
12
%
of
the
VFP
cases
and
recurrence
is
extremely
rare
.
Methods
and
Results
.
We
report
a
man
with
isolated
recurrent
unilateral
right
VFP
and
a
diagnosis
of
NA
years
before
.
Conclusions
.
We
emphasize
that
shoulder
pain
and
amyotrophy
should
be
inquired
in
any
patient
suffering
from
inexplicable
dysphonia
,
and
Parsonage-
Turner
syndrome
should
be
considered
in
the
differential
diagnosis
of
idiopathic
VFP
.
Diseases
Validation
Diseases presenting
"paralysis"
symptom
cadasil
dracunculiasis
kindler syndrome
locked-in syndrome
megacystis-microcolon-intestinal hypoperistalsis syndrome
neuralgic amyotrophy
pyruvate dehydrogenase deficiency
thoracic outlet syndrome
waldenström macroglobulinemia
This symptom has already been validated