Laura Samarà1, Josep Valls-Sole, Miguel Caballero. 1. Otolaryngology - Head and Neck Surgery Department, University of Barcelona, Hospital Clínic, IDIBAPS-Augusto Pi Sunyer Institute for Biomedical Research, Barcelona, Spain.
Abstract
BACKGROUND: Parsonage-Turner syndrome is a rare and painful peripheral neuropathy that usually presents as brachial plexus neuritis and also has other nerve involvement. METHODS AND RESULTS: Herein, we report the case of a patient with right recurrent nerve palsy as the first clinically isolated manifestation of underlying Parsonage-Turner syndrome. Idiopathic dysphonia was the only symptom presenting during a week for a patient that later developed a more conventional neurological deficit in her right shoulder. CONCLUSIONS: The case illustrates the need for a careful clinical-neurologic examination beyond the larynx in patients presenting with idiopathic dysphonia. Parsonage-Turner syndrome should be considered as one of the rare causes in the differential diagnosis of isolated and otherwise unexplained dysphonia.
BACKGROUND:Parsonage-Turner syndrome is a rare and painful peripheral neuropathy that usually presents as brachial plexus neuritis and also has other nerve involvement. METHODS AND RESULTS: Herein, we report the case of a patient with right recurrent nerve palsy as the first clinically isolated manifestation of underlying Parsonage-Turner syndrome. Idiopathic dysphonia was the only symptom presenting during a week for a patient that later developed a more conventional neurological deficit in her right shoulder. CONCLUSIONS: The case illustrates the need for a careful clinical-neurologic examination beyond the larynx in patients presenting with idiopathic dysphonia. Parsonage-Turner syndrome should be considered as one of the rare causes in the differential diagnosis of isolated and otherwise unexplained dysphonia.