Motor Paresis Caused by Herpes Zoster in Patients with Rotator Cuff Tear: A report cases.
10.3344/kjp.2006.19.2.299
- Author:
Kee Hyun KIM
1
;
Yoon Suk SOHN
;
Keon Jung YOON
;
Chul Hun SONG
;
Sae Cheol OH
Author Information
1. Department of Anesthesiology and Pain Medicine, Daejeon St. Mary's Hospital, The Catholic University of Korea, College of Medicine, Daejeon, Korea. oscane@hanmail.net
- Publication Type:Case Report
- Keywords:
muscle atrophy;
rotator cuff tear;
segmental zoster paresis
- MeSH:
Acute Pain;
Aged;
Atrophy;
Diagnosis, Differential;
Exanthema;
Herpes Zoster*;
Humans;
Magnetic Resonance Imaging;
Muscle Weakness;
Muscles;
Muscular Atrophy;
Paresis*;
Rotator Cuff*;
Shoulder;
Shoulder Pain;
Upper Extremity
- From:The Korean Journal of Pain
2006;19(2):299-302
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Segmental zoster paresis is characterized by focal, asymmetric motor weakness in the myotome corresponding to the dermatome of the rash. A 73-year-old man, who presented with severe right shoulder pain and shoulder girdle muscle weakness, was diagnosed with segmental zoster paresis involvement of the C5 C6 motor roots as a complication of herpes zoster. Girdle muscles (supraspinatus, deltoid and infraspinatus) atrophy had developed in his right shoulder. An MRI showed rotator cuff tearing in his right shoulder; therefore, an arthroscopic rotator cuff repair was performed. Herein, this case is presented to emphasize the importance of considering post-herpetic segmental motor paresis in the differential diagnosis of acute painful motor weakness of the upper extremities.
