{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T23:24:09Z","timestamp":1751412249482,"version":"3.40.4"},"reference-count":19,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2017,6,21]]},"abstract":"<jats:p>Parsonage-Turner syndrome (PTS) is a rare neuropathy that commonly presents as unexpected severe shoulder and arm pain that eventually subsides while weakness or paralysis ensues. During exceptions to this classic presentation, confirming PTS can be challenging. Alternative causes of upper extremity pain may confound the diagnostic algorithm. Moreover, objective findings from necessary diagnostic tests depend on when those tests are performed. We present an atypical onset of PTS, whereby the initial presentation of severe neuropathic pain was preceded by mild shoulder pain that should decrease one\u2019s clinical suspicion for PTS. This milder pain coincided with the presence of a rotator cuff injury, whereby surgical intervention preceded impending paralysis and hindered postoperative rehabilitation. Physicians should be aware of the possibility of atypical presentations of PTS in hopes of avoiding either untimely surgery or delays in diagnosis.<\/jats:p>","DOI":"10.1136\/bcr-2017-220532","type":"journal-article","created":{"date-parts":[[2017,9,24]],"date-time":"2017-09-24T09:29:39Z","timestamp":1506245379000},"page":"bcr-2017-220532","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Atypical presentation of Parsonage-Turner syndrome confounded by surgical rotator cuff injury"],"prefix":"10.1136","volume":"2017","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7904-8351","authenticated-orcid":false,"given":"Dustin Adam","family":"Greenhill","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hesham","family":"Abdelfattah","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph S","family":"Torg","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph Milo","family":"Sewards","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2017,7,24]]},"reference":[{"key":"2025042712133869000_2017.jul21_1.bcr-2017-220532.1","doi-asserted-by":"crossref","first-page":"973","DOI":"10.1016\/S0140-6736(48)90611-4","article-title":"Neuralgic amyotrophy; the shoulder-girdle syndrome","volume":"1","author":"Parsonage","year":"1948","journal-title":"Lancet"},{"doi-asserted-by":"publisher","key":"2025042712133869000_2017.jul21_1.bcr-2017-220532.2","DOI":"10.1002\/ana.410180308"},{"key":"2025042712133869000_2017.jul21_1.bcr-2017-220532.3","doi-asserted-by":"crossref","first-page":"1405","DOI":"10.2106\/00004623-199609000-00018","article-title":"Parsonage Turner syndrome","volume":"78","author":"Misamore","year":"1996","journal-title":"J Bone Joint Surg Am"},{"doi-asserted-by":"publisher","key":"2025042712133869000_2017.jul21_1.bcr-2017-220532.4","DOI":"10.1001\/archneur.1972.00490140013004"},{"doi-asserted-by":"publisher","key":"2025042712133869000_2017.jul21_1.bcr-2017-220532.5","DOI":"10.1016\/j.apmr.2008.08.216"},{"key":"2025042712133869000_2017.jul21_1.bcr-2017-220532.6","article-title":"Parsonage Turner syndrome - An analysis of two cases","volume":"2","author":"Karuppal","year":"2005","journal-title":"J Orthopaedics"},{"doi-asserted-by":"publisher","key":"2025042712133869000_2017.jul21_1.bcr-2017-220532.7","DOI":"10.1001\/jama.1960.03030100026006"},{"key":"2025042712133869000_2017.jul21_1.bcr-2017-220532.8","doi-asserted-by":"crossref","first-page":"559","DOI":"10.1212\/WNL.46.2.559","article-title":"Immune brachial plexus neuropathy: suggestive evidence for an inflammatory-immune pathogenesis","volume":"46","author":"Suarez","year":"1996","journal-title":"Neurology"},{"doi-asserted-by":"publisher","key":"2025042712133869000_2017.jul21_1.bcr-2017-220532.9","DOI":"10.1002\/ana.410240505"},{"doi-asserted-by":"publisher","key":"2025042712133869000_2017.jul21_1.bcr-2017-220532.10","DOI":"10.1001\/archneur.1993.00540120016006"},{"doi-asserted-by":"publisher","key":"2025042712133869000_2017.jul21_1.bcr-2017-220532.11","DOI":"10.1093\/brain\/awh722"},{"doi-asserted-by":"publisher","key":"2025042712133869000_2017.jul21_1.bcr-2017-220532.12","DOI":"10.1212\/WNL.0b013e3181a609e3"},{"key":"2025042712133869000_2017.jul21_1.bcr-2017-220532.13","doi-asserted-by":"crossref","first-page":"218","DOI":"10.1007\/s11552-007-9059-x","article-title":"Parsonage-Turner syndrome-case report and literature review","volume":"2","author":"Hussey","year":"2007","journal-title":"Hand"},{"doi-asserted-by":"publisher","key":"2025042712133869000_2017.jul21_1.bcr-2017-220532.14","DOI":"10.1007\/s11420-006-9028-x"},{"key":"2025042712133869000_2017.jul21_1.bcr-2017-220532.15","doi-asserted-by":"crossref","first-page":"823","DOI":"10.33588\/rn.27159.98166","article-title":"[Amyotrophic neuralgia: review of 37 cases]","volume":"27","author":"Mart\u00ednez-Salio","year":"1998","journal-title":"Rev Neurol"},{"key":"2025042712133869000_2017.jul21_1.bcr-2017-220532.16","doi-asserted-by":"crossref","first-page":"98","DOI":"10.1046\/j.1440-1673.2000.00749.x","article-title":"Magnetic resonance imaging features of subacute idiopathic brachial neuritis","volume":"44","author":"Dill-Macky","year":"2000","journal-title":"Australas Radiol"},{"key":"2025042712133869000_2017.jul21_1.bcr-2017-220532.17","doi-asserted-by":"crossref","first-page":"516","DOI":"10.1111\/j.1440-1673.2007.01888.x","article-title":"Usefulness of muscle denervation as an MRI sign of peripheral nerve pathology","volume":"51","author":"Lisle","year":"2007","journal-title":"Australas Radiol"},{"doi-asserted-by":"publisher","key":"2025042712133869000_2017.jul21_1.bcr-2017-220532.18","DOI":"10.2214\/AJR.06.1136"},{"doi-asserted-by":"publisher","key":"2025042712133869000_2017.jul21_1.bcr-2017-220532.19","DOI":"10.1148\/radiol.2402050405"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2017-220532","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T19:13:45Z","timestamp":1745781225000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2017-220532"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,7,24]]},"references-count":19,"alternative-id":["10.1136\/bcr-2017-220532"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2017-220532","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2017,7,24]]}}}