{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T17:22:32Z","timestamp":1785432152050,"version":"3.56.0"},"reference-count":8,"publisher":"Department of Medicine, Warren Alpert Medical School at Brown University","issue":"1","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>An elderly patient with an extensive smoking history presented with acute severe right-hand pain and evolving weakness with patchy sensory deficit. He had minimal relief from multiple analgesics, gabapentin, and acupuncture. Motor deficits in his right-hand progressed. A nerve conduction study confirmed motor-predominant polyneuropathy and magnetic resonance imaging (MRI) of his C-spine and brachial plexus ruled out apical lung mass or other structural lesions. A positive GalNAc-GD1a ganglioside antibody (IgG) was noted. A diagnosis of immune mediated neuralgic amyotrophy or Parsonage-Turner Syndrome was made. Intravenous immune globulin (IVIG) was started with partial improvement in motor function, six months later. Although this patient did not have SARS-CoV-2 infection nor was he recently vaccinated, this case is of interest to hospital-based internists as the Covid pandemic has seen an increase in the in reported cases of neuralgic amyotrophy worldwide due to the virus itself as well as the associated COVID-19 vaccines.<\/jats:p>","DOI":"10.56305\/001c.90068","type":"journal-article","created":{"date-parts":[[2024,1,3]],"date-time":"2024-01-03T07:26:48Z","timestamp":1704266808000},"source":"Crossref","is-referenced-by-count":1,"title":["Claw Hand in Parsonage Turner syndrome"],"prefix":"10.56305","volume":"3","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2654-9221","authenticated-orcid":false,"given":"Michael E","family":"Lazarus","sequence":"first","affiliation":[{"name":"University of California, Los Angeles, CA, USA","department":["Internal Medicine, Department of Medicine"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tyler B","family":"Larsen","sequence":"additional","affiliation":[{"name":"University of California, Los Angeles, CA, USA","department":["Internal Medicine, Department of Medicine"]},{"id":[{"id":"https:\/\/ror.org\/05xcarb80","id-type":"ROR","asserted-by":"publisher"}],"name":"VA Greater Los Angeles Healthcare System","department":["Department of Medicine"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"35509","published-online":{"date-parts":[[2024,1,1]]},"reference":[{"issue":"1-2","key":"ref1","doi-asserted-by":"publisher","first-page":"107","DOI":"10.1016\/j.jneuroim.2011.08.005","article-title":"Four cases of anti-ganglioside antibody-positive neuralgic amyotrophy with good response to intravenous immunoglobulin infusion therapy","volume":"238","author":"Kota Moriguchi","year":"2011","journal-title":"Journal of Neuroimmunology","ISSN":"https:\/\/id.crossref.org\/issn\/0165-5728","issn-type":"print"},{"issue":"6513","key":"ref2","doi-asserted-by":"publisher","first-page":"973","DOI":"10.1016\/s0140-6736(48)90611-4","article-title":"Neuralgic amyotrophy; the shoulder-girdle syndrome","volume":"251","author":"M.J. 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England","year":"1987","journal-title":"Muscle &amp; Nerve","ISSN":"https:\/\/id.crossref.org\/issn\/0148-639X","issn-type":"print"},{"issue":"7","key":"ref8","doi-asserted-by":"publisher","first-page":"3000605231187939","DOI":"10.1177\/03000605231187939","article-title":"Association of Parsonage\u2013Turner syndrome with COVID-19 infection and vaccination: a systematic review","volume":"51","author":"Muhammad Zain Ameer","year":"2023","journal-title":"Journal of International Medical Research","ISSN":"https:\/\/id.crossref.org\/issn\/0300-0605","issn-type":"print"}],"container-title":["Journal of Brown Hospital Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/bhm.scholasticahq.com\/article\/90068-claw-hand-in-parsonage-turner-syndrome","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,2,19]],"date-time":"2025-02-19T11:35:58Z","timestamp":1739964958000},"score":1,"resource":{"primary":{"URL":"https:\/\/bhm.scholasticahq.com\/article\/90068-claw-hand-in-parsonage-turner-syndrome"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1,1]]},"references-count":8,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024]]}},"URL":"https:\/\/doi.org\/10.56305\/001c.90068","relation":{},"ISSN":["2994-5593"],"issn-type":[{"value":"2994-5593","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,1,1]]}}}