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      Parsonage-Turner syndrome following COVID-19 vaccination and review of the literature

      case-report

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          Abstract

          Background:

          Parsonage-Turner syndrome (PTS) is a rare brachial plexopathy characterized by self-limiting shoulder girdle and upper arm pain followed by the upper extremity weakness and sensory changes. While the etiology is not well-understood, the most common cause of PTS is thought to be postviral. There are at least nine reports, to the best of our knowledge, of PTS associated with COVID-19 infection and nine reports associated with COVID-19 vaccination.

          Case Description:

          Here, we present a case of PTS after COVID-19 vaccination in a 64-year-old male and a review of the current literature.

          Conclusion:

          PTS can occur post-COVID-19 vaccination and should be on the differential diagnosis when patient continues to experience shoulder pain and develops weakness or sensory changes in the extremity.

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          Most cited references46

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          Neuralgic amyotrophy; the shoulder-girdle syndrome.

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            Clinical and pathophysiological concepts of neuralgic amyotrophy.

            Neuralgic amyotrophy--also known as Parsonage-Turner syndrome or brachial plexus neuritis--is a distinct and painful peripheral neuropathy that causes episodes of multifocal paresis and sensory loss in a brachial plexus distribution with concomitant involvement of other PNS structures (such as the lumbosacral plexus or phrenic nerve) in a large number of patients. The phenotype can be limited or extensive and the amount of disability experienced also varies between patients, but many are left with residual disabilities that affect their ability to work and their everyday life. Both idiopathic and hereditary forms exist. The latter form is genetically heterogeneous, but in 55% of affected families, neuralgic amyotrophy is associated with a point mutation or duplication in the SEPT9 gene on chromosome 17q25. The disease is thought to result from an underlying genetic predisposition, a susceptibility to mechanical injury of the brachial plexus (possibly representing disturbance of the epineurial blood-nerve barrier), and an immune or autoimmune trigger for the attacks. The precise pathophysiological mechanisms are still unclear; treatment is empirical, and preventive measures are not yet available. This Review provides an overview of the current clinical and pathophysiological concepts and research topics in neuralgic amyotrophy.
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              Natural history of brachial plexus neuropathy. Report on 99 patients.

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                Author and article information

                Contributors
                https://orcid.org/0000-0002-6220-5752
                Journal
                Surg Neurol Int
                Surg Neurol Int
                Surgical Neurology International
                Scientific Scholar (USA )
                2229-5097
                2152-7806
                2022
                15 April 2022
                : 13
                : 152
                Affiliations
                [1 ]Departments of Neurosurgery, Brigham and Women’s Hospital, Boston, Massachusetts, United States,
                [2 ]Neurology, Brigham and Women’s Hospital, Boston, Massachusetts, United States.
                Author notes
                [* ] Corresponding author: Melissa Ming Jie Chua, Department of Neurosurgery, Brigham and Women’s Hospital, Boston, Massachusetts, United States. mchua@ 123456bwh.harvard.edu
                Article
                10.25259/SNI_4_2022
                10.25259/SNI_4_2022
                9062946
                35509574
                a92d4ea3-cd2b-4a9d-948b-b068ef8303cb
                Copyright: © 2022 Surgical Neurology International

                This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, transform, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.

                History
                : 01 January 2022
                : 01 April 2022
                Categories
                Case Report

                Surgery
                covid-19,idiopathic brachial neuritis,parsonage-turner syndrome,sars-cov-2,vaccine
                Surgery
                covid-19, idiopathic brachial neuritis, parsonage-turner syndrome, sars-cov-2, vaccine

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