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COVID-19 atypical Parsonage-Turner syndrome: a case report

Title: COVID-19 atypical Parsonage-Turner syndrome: a case report
Authors: Zazzara, Maria Beatrice; Modoni, Anna; Bizzarro, Alessandra; Lauria, Alessandra; Landi, Francesco; Gremese, Elisa; Bernabei, Roberto; Fantoni, Massimo; Gasbarrini, Antonio; Settanni, Carlo Romano; Porcari, Serena; Brandi, Vincenzo; Lo Monaco, Maria Rita; Martone, Anna Maria; Marzetti, Emanuele; Pagano, Francesco; Salerno, Andrea; Tosato, Matteo; Calvani, Riccardo; Catalano, Lucio; Savera, Giulia; Cauda, Roberto; Murri, Rita; Cingolani, Antonella; Ventura, Giulio; Stella, Leonardo; Addolorato, Giovanni; Zocco, Maria Assunta; Sanguinetti, Maurizio; Cattani, Paola; Marchetti, Simona; Posteraro, Brunella; Sali, Michela; Rizzo, Stanislao; Savastano, Maria Cristina; Gambini, Gloria; Culiersi, Carola; Passali, Giulio Cesare; Paludetti, Gaetano; Galli, Jacopo; Longobardi, Ylenia; Tricarico, Laura; Di Cesare, Tiziana; Settimi, Stefano; Mele, Dario; Buonsenso, Danilo; Valentini, Piero; Richeldi, Luca; Lombardi, Francesco; Varone, Francesco; Leone, Paolo Maria; Siciliano, Matteo; Corbo, Giuseppe Maria; Intini, Enrica; Simonetti, Jacopo; Pasciuto, Giuliana; Adiletta, Veronica; Sofia, Carmelo; Licata, Maria Angela; Sani, Gabriele; Janiri, Delfina; Simonetti, Alessio; Modica, Marco; Montanari, Silvia; Catinari, Antonello; Terenzi, Beatrice; Natale, Luigi; Larici, Anna Rita; Marano, Riccardo; Pirronti, Tommaso; Petricca, Luca; Tolusso, Barbara; Alivernini, Stefano; Di Mario, Clara; Santoliquido, Angelo; Nesci, Antonio; Di Giorgio, Angela
Contributors: Zazzara, Maria Beatrice; Modoni, Anna; Bizzarro, Alessandra; Lauria, Alessandra; Ciciarello, Francesca; Pais, Cristina; Galluzzo, Vincenzo; Landi, Francesco; Tostato, Matteo; Gremese, Elisa; Bernabei, Roberto; Fantoni, Massimo; Gasbarrini, Antonio; Settanni, Carlo Romano; Porcari, Serena; Benvenuto, Francesca; Bramato, Giulia; Brandi, Vincenzo; Carfì, Angelo; Lo Monaco, Maria Rita; Martone, Anna Maria; Marzetti, Emanuele; Napolitano, Carmen; Pagano, Francesco Cosimo; Rocchi, Sara; Rota, Elisabetta; Salerno, Andrea Maria; Tosato, Matteo; Tritto, Marcello; Calvani, Riccardo; Catalano, Lucio; Picca, Anna; Savera, Giulia; Cauda, Roberto; Murri, Rita; Cingolani, Antonella; Ventura, Giulio; Taddei, Eleonora; Moschese, Davide; Ciccullo, Arturo; Stella, Leonardo; Addolorato, Giovanni; Franceschi, Francesco; Mingrone, Gertrude; Zocco, Maria Assunta; Sanguinetti, Maurizio; Cattani Franchi, Paola; Marchetti, Simona; Posteraro, Brunella; Sali, Michela; Rizzo, Stanislao; Savastano, Maria Cristina; Gambini, Gloria; Cozzupoli, Maria Grazia; Culiersi, Carola; Passali, Giulio Cesare; Paludetti, Gaetano; Galli, Jacopo; Crudo, Fabrizio; Di Cintio, Giovanni; Longobardi, Ylenia; Tricarico, Laura; Santantonio, Mariaconsiglia; Di Cesare, Tiziana; Guarino, Mariateresa; Corbò, Marco; Settimi, Stefano; Mele, Dario Antonio; Brigato, Francesca; Buonsenso, Danilo; Valentini, Piero; Sinatti, Dario; De Rose, Gabriella; Richeldi, Luca; Lombardi, Francesco; Calabrese, Angelo; Varone, Francesco; Leone, Paolo Maria; Siciliano, Matteo; Corbo, Giuseppe Maria; Montemurro, Giuliano; Calvello, Mariarosaria; Intini, Enrica; Simonetti, Jacopo; Pasciuto, Giuliana; Adiletta, Veronica; Sofia, Carmelo; Licata, Maria Angela Vittoria Anna Chiara; Sani, Gabriele; Janiri, Delfina; Simonetti, Alessio; Modica, Marco
Publisher Information: BMC
Publication Year: 2022
Collection: Università Cattolica del Sacro Cuore: PubliCatt
Subject Terms: Atypical brachial plexus neuritis; COVID-19 neurological manifestations; COVID-19 neuromuscular sequelae; Sars-CoV-2 infection; Settore MED/36 - DIAGNOSTICA PER IMMAGINI E RADIOTERAPIA
Description: Background Neurological manifestations of Sars-CoV-2 infection have been described since March 2020 and include both central and peripheral nervous system manifestations. Neurological symptoms, such as headache or persistent loss of smell and taste, have also been documented in COVID-19 long-haulers. Moreover, long lasting fatigue, mild cognitive impairment and sleep disorders appear to be frequent long term neurological manifestations after hospitalization due to COVID-19. Less is known in relation to peripheral nerve injury related to Sars-CoV-2 infection. Case presentation We report the case of a 47-year-old female presenting with a unilateral chest pain radiating to the left arm lasting for more than two months after recovery from Sars-CoV-2 infection. After referral to our post-acute outpatient service for COVID-19 long haulers, she was diagnosed with a unilateral, atypical, pure sensory brachial plexus neuritis potentially related to COVID-19, which occurred during the acute phase of a mild Sars-CoV-2 infection and persisted for months after resolution of the infection. Conclusions We presented a case of atypical Parsonage-Turner syndrome potentially triggered by Sars-CoV-2 infection, with symptoms and repercussion lasting after viral clearance. A direct involvement of the virus remains uncertain, and the physiopathology is unclear. The treatment of COVID-19 and its long-term consequences represents a relatively new challenge for clinicians and health care providers. A multidisciplinary approach to following-up COVID-19 survivors is strongly advised.
Document Type: article in journal/newspaper
Language: English
Relation: info:eu-repo/semantics/altIdentifier/pmid/35296278; info:eu-repo/semantics/altIdentifier/wos/WOS:000769938500003; volume:22; issue:1; firstpage:96; lastpage:99; numberofpages:4; issueyear:2022; journal:BMC NEUROLOGY; https://hdl.handle.net/10807/273096
DOI: 10.1186/s12883-022-02622-4
Availability: https://hdl.handle.net/10807/273096; https://doi.org/10.1186/s12883-022-02622-4
Rights: info:eu-repo/semantics/openAccess ; license:Creative commons ; license uri:http://creativecommons.org/licenses/by/4.0/
Accession Number: edsbas.A3AE06E8
Database: BASE