Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
Child's Nervous System
Published in: Child's Nervous System 1/2018

01-01-2018 | Case Report

Infant brachial neuritis following a viral prodrome: a case in a 6-month old child and review of the literature

Authors: Oliver D. Mrowczynski, Sara T. Langan, Elias B. Rizk

Published in: Child's Nervous System | Issue 1/2018

Login to get access

Abstract

Introduction

Brachial neuritis, commonly known as Parsonage-Turner syndrome, affects two to three people per 100,000 and presents with pain and weakness of the arm and shoulder. Brachial neuritis is uncommon in infants.

Methods

Here, we present the case of a 6-month old female, who presented with right upper extremity weakness and paresis following a viral prodrome. We also present a summary of all reported cases of brachial neuritis in infants.

Results

This is the youngest case of brachial neuritis diagnosed at our institution. The child was treated with prednisolone and physical therapy. The patient is now 16 months old and her symptoms have significantly improved.

Conclusions

Brachial neuritis should be considered in the differential when an infant presents with sudden onset of upper limb weakness, following a viral prodrome. Finally, a genetic workup is suggested for patients with recurring episodes.
Literature
1.
Pezzimenti J, Recker R, Danneel C (1970) Paralytic brachial neuritis with muscle enzymes and EMG studies. Report of a case and review of literature. Nebr Med J 55:373–378PubMed
2.
McCarty EC, Tsairis P, Warren RF (1999) Brachial neuritis. Clin Orthop Relat Res:37–43
3.
MacDonald BK, Cockerell OC, Sander JW, Shorvon SD (2000) The incidence and lifetime prevalence of neurological disorders in a prospective community-based study in the UK. Brain 123(Pt 4):665–676CrossRefPubMed
4.
Beghi E, Kurland LT, Mulder DW, Nicolosi A (1985) Brachial plexus neuropathy in the population of Rochester, Minnesota, 1970-1981. Ann Neurol 18:320–323CrossRefPubMed
5.
van Alfen N, van Engelen BGM (2005) The clinical spectrum of neuralgic amyotrophy in 246 cases. Brain 129:438–450CrossRefPubMed
6.
Kuhlenbumer G, Hannibal MC, Nelis E et al (2005) Mutations in SEPT9 cause hereditary neuralgic amyotrophy. Nat Genet 37:1044–1046
7.
8.
Tjoumakaris FP, Anakwenze OA, Kancherla V, Pulos N (2012) Neuralgic amyotrophy (Parsonage-Turner syndrome). J Am Acad Orthop Surg 20:443–449CrossRefPubMed
9.
van Alfen N, van der Werf SP, van Engelen BG (2009) Long-term pain, fatigue, and impairment in neuralgic amyotrophy. Arch Phys Med Rehabil 90:435–439CrossRefPubMed
10.
van Alfen N, van Engelen BG, Hughes RA (2009) Treatment for idiopathic and hereditary neuralgic amyotrophy (brachial neuritis). Cochrane Database Syst Rev.
11.
TURNER JWA, PARSONAGE MJ (1957) Neuralgic amyotrophy (paralytic brachial neuritis); with special reference to prognosis. Lancet (London, England) 273:209–212
12.
van Alfen N, van Eijk JJJ, Ennik T et al (2015) Incidence of neuralgic amyotrophy (parsonage turner syndrome) in a primary care setting--a prospective cohort study. PLoS One 10:e0128361CrossRefPubMedPubMedCentral
13.
van Alfen N, Schuuring J, van Engelen BGM et al (2000) Idiopathic neuralgic amyotrophy in children. A Distinct Phenotype Compared to the Adult Form Neuropediatrics 31:328–332PubMed
14.
Martin WA, Kraft GH (1974) Shoulder girdle neuritis: a clinical and electrophysiological evaluation. Mil Med 139:21–25PubMed
15.
Bale JF, Thompson JA, Petajan JH, Ziter FA (1979) Childhood brachial plexus neuropathy. J Pediatr 95:741–742CrossRefPubMed
16.
LM C, Jr, Jayam-Trouth A (1980) Brachial plexus neuropathy: three cases in children. Am J Dis Child 134:299–300
17.
Zeharia A, Mukamel M, Frishberg Y et al (1990) Benign plexus neuropathy in children. J Pediatr 116:276–278CrossRefPubMed
18.
Hamati-Haddad A, Fenichel GM (1997) Brachial neuritis following routine childhood immunization for diphtheria, tetanus, and pertussis (DTP): report of two cases and review of the literature. Pediatrics 99
19.
Kotsopoulos I, Faber K, Raaijmakers J et al (2007) Idiopathic neuralgic amyotrophy in childhood. Neuropediatrics 38:36–37CrossRefPubMed
20.
Leshinsky-Silver E, Ginzberg M, Dabby R et al (2013) Neonatal vocal cord paralysis-an early presentation of hereditary neuralgic amyotrophy due to a mutation in the SEPT9 gene. Eur J Paediatr Neurol 17:64–67CrossRefPubMed
21.
VASSALLO G, MARTLAND T, FORBES W, MCCULLAGH G (2010) A valuable non-invasive diagnostic investigation for paediatric idiopathic brachial neuritis. Dev Med Child Neurol 52:966–968CrossRefPubMed
22.
23.
American Academy of Family Physicians. JD, Pruitt S, McDonald TJ (1970) American family physician. American Academy of Family Physicians
24.
Dartevel A, Colombe B, Bosseray A et al (2015) Hepatitis E and neuralgic amyotrophy: five cases and review of literature. J Clin Virol 69:156–164CrossRefPubMed
25.
Tsairis P, Dyck PJ, Mulder DW (1972) Natural history of brachial plexus neuropathy. Report on 99 patients. Arch Neurol 27:109–117CrossRefPubMed
Metadata
Title
Infant brachial neuritis following a viral prodrome: a case in a 6-month old child and review of the literature
Authors
Oliver D. Mrowczynski
Sara T. Langan
Elias B. Rizk
Publication date
01-01-2018
Publisher
Springer Berlin Heidelberg
Published in
Child's Nervous System / Issue 1/2018
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI
https://doi.org/10.1007/s00381-017-3591-y

Other articles of this Issue 1/2018

Child's Nervous System 1/2018 Go to the issue

Focus Session

Hydrocephalus associated to congenital Zika syndrome: does shunting improve clinical features?

Obituary

Prof. Satoshi Matsumoto eulogy

Letter to the Editor

Posterior reversible encephalopathy syndrome (PRES) due to neuroblastoma in a child presenting with acute hydrocephalus

Obituary

In memory of Professor Satoshi Matsumoto

Case Report

Posterior fossa pilomyxoid astrocytoma with spontaneous hemorrhage in pediatric patients

Letter to the Editor

Epidermoid cyst of the fourth ventricle in a child