A Rare Case of Radiculoplexopathy Induced by Herpes Zoster
1
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
This case report discusses a rare instance of herpes zoster infection presenting with radiculoplexopathy, exhibiting both preganglionic and postganglionic features. A 62-year-old male patient experienced sudden right upper limb weakness following a recent herpes zoster diagnosis. A nerve conduction study, electromyography, and magnetic resonance imaging revealed a right brachial plexopathy involving the upper trunk and posterior cord, accompanied by lesions in the middle to lower cervical roots. Even after several months, the patient’s recovery remained limited, indicating the significance of this case as a reference for clinical progression in instances of both preganglionic and postganglionic neuropathy. This case emphasizes the role of electrophysiological evaluation in zoster-associated paresis to predict disease progression and improve patient management.
Abstract
This case report discusses a rare instance of herpes zoster infection presenting with radiculoplexopathy, exhibiting both preganglionic and postganglionic features. A 62-year-old male patient experienced sudden right upper limb weakness following a recent herpes zoster diagnosis. A nerve conduction study, electromyography, and magnetic resonance imaging revealed a right brachial plexopathy involving the upper trunk and posterior cord, accompanied by lesions in the middle to lower cervical roots. Even after several months, the patient’s recovery remained limited, indicating the significance of this case as a reference for clinical progression in instances of both preganglionic and postganglionic neuropathy. This case emphasizes the role of electrophysiological evaluation in zoster-associated paresis to predict disease progression and improve patient management.
참고문헌 (10)
- Liu Y, "A retrospective case series of segmental zoster paresis of limbs : clinical, electrophysiological and imaging characteristics", BMC Neurol, 18, pp.121~ (2018)
- Dumitru D, "Electrodiagnostic medicine", pp.978~979 (2002), Hanley & Belfus
- Alshekhlee A, "Herpes zoster with motor involvement : discordance between the distribution of skin rash and localization of peripheral nervous system dysfunction", J Clin Neuromuscul Dis, 12, pp.153~157 (2011)
- Li SJ, "Risk factors and nomogram-based prediction of the risk of limb weakness in herpes zoster", Front Neurosci, 17, pp.1109927~ (2023)
- Tang J, "Analysis of risk factors and construction of a prediction model of motor dysfunction caused by limb herpes zoster", J Pain Res, 15, pp.367~375 (2022)
- Jones LK Jr, "Clinical, electrophysiologic, and imaging features of zoster-associated limb paresis", Muscle Nerve, 50, pp.177~185 (2014)
- Castro LF, "A report of a case of segmental zoster paresis demonstrated by limb paralysis and a review of the literature", Cureus, 15, pp.e45691~ (2023)
- Iversen T, "Outcome prediction in chronic unilateral lumbar radiculopathy : prospective cohort study", BMC Musculoskelet Disord, 16, pp.17~ (2015)
- Bowen BC, "Expert panel on neurologic imaging : plexopathy", AJNR Am J Neuroradiol, 29, pp.400~402 (2008)
- Meng Y, "Segmental zoster paresis : a literature review", Pain Physician, 24, pp.253~261 (2021)