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Syndrome de Parsonage-Turner compliquant une infection sévère à SARS-CoV-2

INTRODUCTION: Complications following COVID-19 are starting to emerge; neurological disorders are already described in the literature. CASE REPORT: This case is about a 20-year old male with a severe COVID-19, hospitalized in a Reanimation and Intensive Care Unit with an Acute Respiratory Distress S...

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Autores principales: Viatgé, T., Noel-Savina, E., Prévot, G., Faviez, G., Plat, G., De Boissezon, X., Cintas, P., Didier, A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SPLF. Published by Elsevier Masson SAS. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8233958/
https://www.ncbi.nlm.nih.gov/pubmed/34325956
http://dx.doi.org/10.1016/j.rmr.2021.06.004
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author Viatgé, T.
Noel-Savina, E.
Prévot, G.
Faviez, G.
Plat, G.
De Boissezon, X.
Cintas, P.
Didier, A.
author_facet Viatgé, T.
Noel-Savina, E.
Prévot, G.
Faviez, G.
Plat, G.
De Boissezon, X.
Cintas, P.
Didier, A.
author_sort Viatgé, T.
collection PubMed
description INTRODUCTION: Complications following COVID-19 are starting to emerge; neurological disorders are already described in the literature. CASE REPORT: This case is about a 20-year old male with a severe COVID-19, hospitalized in a Reanimation and Intensive Care Unit with an Acute Respiratory Distress Syndrome, thromboembolic complication and secondary bacterial infection. This patient had a non-specific neurological disorder with a pseudobulbar palsy, (MRI, ENMG and lumbar puncture were normal), associated 4 months later with persistent left shoulder motor deficit and respiratory failure. Respiratory and neurological check-up led to a diagnosis of the Parsonage-Turner syndrome or neuralgic amyotrophy affecting C5-C6 nerve roots, the lateral pectoral and phrenic nerves at the origin of the scapular belt, amyotrophy and left diaphragm paralysis. CONCLUSIONS: This case shows that persistant dyspnoea after COVID 19 infection should lead to a search for a diaphragmatic cause which is not always the result of Reanimation Neuropathy but may also indicate a neuralgic amyotrophy. It is the fourth case of neuralgic amyotrophy following COVID-19. This brings the medical community to consider the risk of diaphragm paralysis apart from critical illness polyneuropathy. Respiratory muscle evaluation and diaphragmatic ultrasound should be considered in case of persistent dyspnoea.
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spelling pubmed-82339582021-06-28 Syndrome de Parsonage-Turner compliquant une infection sévère à SARS-CoV-2 Viatgé, T. Noel-Savina, E. Prévot, G. Faviez, G. Plat, G. De Boissezon, X. Cintas, P. Didier, A. Rev Mal Respir Cas Clinique INTRODUCTION: Complications following COVID-19 are starting to emerge; neurological disorders are already described in the literature. CASE REPORT: This case is about a 20-year old male with a severe COVID-19, hospitalized in a Reanimation and Intensive Care Unit with an Acute Respiratory Distress Syndrome, thromboembolic complication and secondary bacterial infection. This patient had a non-specific neurological disorder with a pseudobulbar palsy, (MRI, ENMG and lumbar puncture were normal), associated 4 months later with persistent left shoulder motor deficit and respiratory failure. Respiratory and neurological check-up led to a diagnosis of the Parsonage-Turner syndrome or neuralgic amyotrophy affecting C5-C6 nerve roots, the lateral pectoral and phrenic nerves at the origin of the scapular belt, amyotrophy and left diaphragm paralysis. CONCLUSIONS: This case shows that persistant dyspnoea after COVID 19 infection should lead to a search for a diaphragmatic cause which is not always the result of Reanimation Neuropathy but may also indicate a neuralgic amyotrophy. It is the fourth case of neuralgic amyotrophy following COVID-19. This brings the medical community to consider the risk of diaphragm paralysis apart from critical illness polyneuropathy. Respiratory muscle evaluation and diaphragmatic ultrasound should be considered in case of persistent dyspnoea. SPLF. Published by Elsevier Masson SAS. 2021-10 2021-06-26 /pmc/articles/PMC8233958/ /pubmed/34325956 http://dx.doi.org/10.1016/j.rmr.2021.06.004 Text en © 2021 SPLF. Published by Elsevier Masson SAS. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Cas Clinique
Viatgé, T.
Noel-Savina, E.
Prévot, G.
Faviez, G.
Plat, G.
De Boissezon, X.
Cintas, P.
Didier, A.
Syndrome de Parsonage-Turner compliquant une infection sévère à SARS-CoV-2
title Syndrome de Parsonage-Turner compliquant une infection sévère à SARS-CoV-2
title_full Syndrome de Parsonage-Turner compliquant une infection sévère à SARS-CoV-2
title_fullStr Syndrome de Parsonage-Turner compliquant une infection sévère à SARS-CoV-2
title_full_unstemmed Syndrome de Parsonage-Turner compliquant une infection sévère à SARS-CoV-2
title_short Syndrome de Parsonage-Turner compliquant une infection sévère à SARS-CoV-2
title_sort syndrome de parsonage-turner compliquant une infection sévère à sars-cov-2
topic Cas Clinique
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8233958/
https://www.ncbi.nlm.nih.gov/pubmed/34325956
http://dx.doi.org/10.1016/j.rmr.2021.06.004
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