title: Dysphonia as an unusual debut of Parsonage-Turner syndrome.
abstract: BACKGROUND
  Parsonage-Turner syndrome is a rare and painful peripheral neuropathy that usually presents as brachial plexus neuritis and also has other nerve involvement.
  
  
  RESULTS
  Herein, we report the case of a patient with right recurrent nerve palsy as the first clinically isolated manifestation of underlying Parsonage-Turner syndrome. Idiopathic dysphonia was the only symptom presenting during a week for a patient that later developed a more conventional neurological deficit in her right shoulder.
  
  
  CONCLUSIONS
  The case illustrates the need for a careful clinical-neurologic examination beyond the larynx in patients presenting with idiopathic dysphonia. Parsonage-Turner syndrome should be considered as one of the rare causes in the differential diagnosis of isolated and otherwise unexplained dysphonia.
authors.affiliation: Otolaryngology - Head and Neck Surgery Department, University of Barcelona, Hospital Clínic, IDIBAPS-Augusto Pi Sunyer Institute for Biomedical Research, Barcelona, Spain.
authors.forename: Laura
authors.initials: L
authors.lastname: Samarà
authors.forename: Josep
authors.initials: J
authors.lastname: Valls-Sole
authors.forename: Miguel
authors.initials: M
authors.lastname: Caballero
mesh_terms: D000368:Aged; D001917:Brachial Plexus / Q000473:pathology*; D020968:Brachial Plexus Neuritis / Q000175:diagnosis*; D003937:Diagnosis, Differential; D055154:Dysphonia / Q000175:diagnosis*; D004576:Electromyography; D005260:Female; D006801:Humans