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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
.
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"allows a structured approach to these patients"
symptom
neuralgic amyotrophy
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