Zoster Paresis Misconceived as a Radiculopathy due to Herniated Intervertebral Disc.
10.3344/kjp.2009.22.2.181
- Author:
Hyun Jee KIM
1
;
Jin Seok YEO
;
Young Hun JEON
;
Jy Young CHOI
;
Mi Jin HA
;
Jung Gil HONG
Author Information
1. Department of Anesthesiology and Pain Medicine, Kyungpook National University School of Medicine, Daegu, Korea. jsyeo@hmail.knu.ac.kr
- Publication Type:Case Report
- Keywords:
herpes zoster;
paresis
- MeSH:
Ganglion Cysts;
Herpes Zoster;
Humans;
Intervertebral Disc;
Motor Neurons;
Nerve Fibers;
Paresis;
Radiculopathy;
Sciatica;
Skin;
Virus Diseases
- From:The Korean Journal of Pain
2009;22(2):181-185
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Herpes zoster is a viral disease of the posterior root ganglion and sensory nerve fiber, which presents clinically with vesicular eruption of the skin, radicular pain and sensory changes in the distribution of the affected ganglion. However, involvement of the motor neurons can be seen as well. If classic cutaneous lesions are present, herpes zoster-related motor paresis is easily diagnosed. Otherwise, the diagnosis may be more difficult and suspicious, especially if weakness occurs as a symptom before cutaneous lesions appear, or abnormal findings on the MRI are consistent with the signs. There have been few reports of sciatica with motor loss preceding skin lesions. Here, we report a patient with herpes zoster-related motor paresis preceding skin lesions. In the preliminary diagnosis, the herpes zoster-related motor paresis was confused for some structural disorder.
