Herpes Zoster and resultant Segmental Zoster Paresis: A casereport and Literature reviewarticle

Authors

Yen-Jou Ho
Hong-Yi Lin
Yao-Jen Chen

Translated Title

帶狀皰疹誘發之肢體無力：病例報告及文獻回顧

Abstract

Herpes zoster (HZV) is ascribed to the reactivation of the dormant varicella-zoster virus (VZV) in the dorsal root ganglia. The most commonly seen manifestation is a painful skin rash. However, several additional complications have been documented in the literature. A less-mentioned yet severe complication is segmental zoster paresis (SZP), which can cause limb paralysis. SZP's mechanism is still under debate, and a direct invasion of motor fibers due to anatomical adjacency has been proposed. Here we report a patient who had sudden onset of left upper limb paresis and gradually developed a skin rash afterward, which a dermatologist confirmed as HZV, and who received proper anti-viral management. However, the paresis persisted despite the skin rash subsiding. We concluded a diagnosis of SZP based on clinical manifestation, physical examination, musculoskeletal ultrasound examination, and electrodeagnostic studies.

Language

English

DOI Link

https://doi.org/10.6315/TJPMR.202206_50(1).0010

First Page

77

Last Page

83

Recommended Citation

Ho, Yen-Jou; Lin, Hong-Yi; and Chen, Yao-Jen (2022) "Herpes Zoster and resultant Segmental Zoster Paresis: A casereport and Literature reviewarticle," Rehabilitation Practice and Science: Vol. 50: Iss. 1, Article 10.
DOI: https://doi.org/10.6315/TJPMR.202206_50(1).0010
Available at: https://rps.researchcommons.org/journal/vol50/iss1/10