A 68-year-old man awoke one morning with severe pain in his right shoulder. On turning his head or lifting his shoulder, he experienced extreme discomfort and lancinating (shooting, piercing, darting, or stabbing) pain. The pain was a sharp, burning pain that moved across his shoulder and down into his right arm. Finding a comfortable position lying down was difficult. A cervical MRI study showed no bone abnormalities, whereas a neurologic examination provided evidence of damage to multiple peripheral nerves. He developed weakness of his shoulder muscles and was unable to lift his right arm. Final diagnosis was brachial plexus neuritis [also known as Parsonage-Turner syndrome]. The cause of the condition is unknown, but it may be related to a flu vaccination he received 2 weeks previously. Treatment consisted of pain medication and physical therapy to rehabilitate weakened muscles in his arm and shoulder.
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A 68-year-old man awoke one morning with severe pain in his right shoulder. On turning his head or l...
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