Herpes Viral Origin of the Parsonage-Turner Syndrome: Highlighting of Serological Immune Anti-Herpes Deficiency Cured by Anti-Herpes Therapy

In 2012, a 50 year-old athletic male presented with weakness, pain and unilateral phrenic paralysis, followed by bilateral phrenic paralysis with deep dyspnea. In 2013, the Parsonage-Turner syndrome was diagnosed. When the patient was seen in September 2014 for the first time, he was facing phrenic...

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Main Authors: Jacqueline Le Goaster, Patrice Bourée, Charles Ifergan, Frederic Tangy, René Olivier, Anne-Lise Haenni
Format: Article
Language:English
Published: Karger Publishers 2015-05-01
Series:Case Reports in Neurology
Subjects:
Online Access:http://www.karger.com/Article/FullText/381945
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author Jacqueline Le Goaster
Patrice Bourée
Charles Ifergan
Frederic Tangy
René Olivier
Anne-Lise Haenni
author_facet Jacqueline Le Goaster
Patrice Bourée
Charles Ifergan
Frederic Tangy
René Olivier
Anne-Lise Haenni
author_sort Jacqueline Le Goaster
collection DOAJ
description In 2012, a 50 year-old athletic male presented with weakness, pain and unilateral phrenic paralysis, followed by bilateral phrenic paralysis with deep dyspnea. In 2013, the Parsonage-Turner syndrome was diagnosed. When the patient was seen in September 2014 for the first time, he was facing phrenic neuromuscular failure, which led to the hypothesis of neurotropic herpes viruses. A control of the global serological anti-Herpes immunity to analyze his antibody (Ab) levels confirmed herpes immune genetic deficiency. An appropriate herpes chemotherapy treatment was proposed. Immediately, a spectacular recovery of the patient was observed, and after a few weeks, the respiratory function tests showed normal values. The hypothesis of the inductive role of viruses of the herpes family in the Parsonage-Turner syndrome was thus substantiated. The patient's immune deficiency covers the HSV2, HHV3, HHV4, HHV5 and HHV6 Ab levels. This led to the control of herpes in the family lineage: indeed, his daughter presented alterations of her serological herpes Ab levels.
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spelling doaj.art-c732c617877f46a8a66e9e28a94d86772022-12-21T22:35:44ZengKarger PublishersCase Reports in Neurology1662-680X2015-05-017211011410.1159/000381945381945Herpes Viral Origin of the Parsonage-Turner Syndrome: Highlighting of Serological Immune Anti-Herpes Deficiency Cured by Anti-Herpes TherapyJacqueline Le GoasterPatrice BouréeCharles IferganFrederic TangyRené OlivierAnne-Lise HaenniIn 2012, a 50 year-old athletic male presented with weakness, pain and unilateral phrenic paralysis, followed by bilateral phrenic paralysis with deep dyspnea. In 2013, the Parsonage-Turner syndrome was diagnosed. When the patient was seen in September 2014 for the first time, he was facing phrenic neuromuscular failure, which led to the hypothesis of neurotropic herpes viruses. A control of the global serological anti-Herpes immunity to analyze his antibody (Ab) levels confirmed herpes immune genetic deficiency. An appropriate herpes chemotherapy treatment was proposed. Immediately, a spectacular recovery of the patient was observed, and after a few weeks, the respiratory function tests showed normal values. The hypothesis of the inductive role of viruses of the herpes family in the Parsonage-Turner syndrome was thus substantiated. The patient's immune deficiency covers the HSV2, HHV3, HHV4, HHV5 and HHV6 Ab levels. This led to the control of herpes in the family lineage: indeed, his daughter presented alterations of her serological herpes Ab levels.http://www.karger.com/Article/FullText/381945Appropriate anti-herpes therapyParsonage-Turner syndromeNeuralgic amyotrophyBilateral phrenic paralysisNeurotropic herpes virus occurrences
spellingShingle Jacqueline Le Goaster
Patrice Bourée
Charles Ifergan
Frederic Tangy
René Olivier
Anne-Lise Haenni
Herpes Viral Origin of the Parsonage-Turner Syndrome: Highlighting of Serological Immune Anti-Herpes Deficiency Cured by Anti-Herpes Therapy
Case Reports in Neurology
Appropriate anti-herpes therapy
Parsonage-Turner syndrome
Neuralgic amyotrophy
Bilateral phrenic paralysis
Neurotropic herpes virus occurrences
title Herpes Viral Origin of the Parsonage-Turner Syndrome: Highlighting of Serological Immune Anti-Herpes Deficiency Cured by Anti-Herpes Therapy
title_full Herpes Viral Origin of the Parsonage-Turner Syndrome: Highlighting of Serological Immune Anti-Herpes Deficiency Cured by Anti-Herpes Therapy
title_fullStr Herpes Viral Origin of the Parsonage-Turner Syndrome: Highlighting of Serological Immune Anti-Herpes Deficiency Cured by Anti-Herpes Therapy
title_full_unstemmed Herpes Viral Origin of the Parsonage-Turner Syndrome: Highlighting of Serological Immune Anti-Herpes Deficiency Cured by Anti-Herpes Therapy
title_short Herpes Viral Origin of the Parsonage-Turner Syndrome: Highlighting of Serological Immune Anti-Herpes Deficiency Cured by Anti-Herpes Therapy
title_sort herpes viral origin of the parsonage turner syndrome highlighting of serological immune anti herpes deficiency cured by anti herpes therapy
topic Appropriate anti-herpes therapy
Parsonage-Turner syndrome
Neuralgic amyotrophy
Bilateral phrenic paralysis
Neurotropic herpes virus occurrences
url http://www.karger.com/Article/FullText/381945
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