Brachial neuritis following quadrivalent human papilloma virus (HPV) vaccination

Excerpt

Brachial neuritis, originally described as neuralgic amyotrophy by Maurice Parsonage and John Turner [7] in 1948, known as “Parsonage Turner Syndrome”, is a condition that causes pain and weakness of the shoulder girdle and/or upper extremity. While brachial neuritis is a rare condition, it is the most common cause of nontraumatic brachial plexopathy [6]. This condition has been misinterpreted or misdiagnosed as rotator cuff pathology, adhesive capsulitis, tendonitis, cervical radiculopathy, compression neuropathy, tumor of the spine or brachial plexus, amyotrophic lateral sclerosis, herpes zoster, and acute poliomyelitis. The etiology of this condition remains a mystery. Surgery, viral disease, infection, autoimmune mechanism, and immunization have been reported as precipitating factors of brachial neuritis. Debeer et al. reported that in 30–85% of the cases, an antecedent event can be found 3–14 days before the initial onset of pain [2]. …