Post-cervical decompression parsonage-turner syndrome represents a subset of C5 palsy: six cases and a review of the literature: case report.

[neuralgic amyotrophy]

Approximately 5 % of cervical decompression cases are complicated by postoperative weakness . Parsonage-Turner syndrome (PTS ) or neuralgic amyotrophy is known to be precipitated by surgery and unrelated to technical or structural issues . Our practice has seen a number of cases of PTS after cervical decompression surgery . In this case report , we discuss a series of such patients , highlighting the commonalities with the more frequently diagnosed C 5 palsy . We conclude with our management algorithm .Six patients with post-cervical decompression PTS were referred to our institution during a 32 -month period . All patients were examined physically , radiographically , and electromyographically and were followed for up to 2 years or until symptoms resolved . Conservative management was the rule , and surgical intervention , including nerve releases and nerve reconstruction , was undertaken in select circumstances . In the majority of patients (4 of 6 patients ), pain management and physical therapy alone were used and achieved eventual resolution of pain and recovery of motor strength . The other 2 patients required adjunctive surgical procedures to maximize their outcomes .PTS accounts for a subset of patients experiencing postoperative weakness after cervical decompression operations . Although it is at times difficult to arrive at this diagnosis , an understanding of the history of PTS , among other causes of postoperative weakness , allows a structured approach to these patients . An evidence-based approach to management helps provide the best outcome for a given patient .

Diseases
Validation

Diseases presenting "pain" symptom

achondroplasia

acute rheumatic fever

adrenal incidentaloma

adrenomyeloneuropathy

aniridia

aromatase deficiency

carcinoma of the gallbladder

cholangiocarcinoma

coats disease

congenital diaphragmatic hernia

congenital toxoplasmosis

cushing syndrome

cutaneous mastocytosis

cystinuria

dedifferentiated liposarcoma

dentin dysplasia

dracunculiasis

dystrophic epidermolysis bullosa

epidermolysis bullosa simplex

erdheim-chester disease

erythropoietic protoporphyria

esophageal adenocarcinoma

esophageal carcinoma

esophageal squamous cell carcinoma

fabry disease

familial mediterranean fever

focal myositis

hirschsprung disease

hodgkin lymphoma, classical

holt-oram syndrome

junctional epidermolysis bullosa

kabuki syndrome

kindler syndrome

lamellar ichthyosis

liposarcoma

locked-in syndrome

lymphangioleiomyomatosis

malignant atrophic papulosis

neuralgic amyotrophy

oligodontia

oral submucous fibrosis

papillon-lefèvre syndrome

phenylketonuria

pleomorphic liposarcoma

primary hyperoxaluria type 1

proteus syndrome

pyomyositis

scrub typhus

sneddon syndrome

systemic capillary leak syndrome

thoracic outlet syndrome

trochlear dysplasia

typhoid

von hippel-lindau disease

waldenström macroglobulinemia

well-differentiated liposarcoma

wolf-hirschhorn syndrome

This symptom has already been validated