Spinal segmental myoclonus improved with epidural blockade in a patient with herpes zoster radiculitis
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The spinal segmental myoclonus by viral radiculitis has been rarely reported and the pathophysiology remains to be elucidated. However, the hyperactivity of contiguous anterior horn neurons induced by viral irritation has been suggested to be a possible patho-mechanism. In general, spinal segmental myoclonus is not well-controlled by medication and the patient suffers from continuous involuntary movement. We recently experienced a case of spinal segmental myoclonus induced by herpes zoster radiculitis, and which was successfully relieved by epidural injections.
Abstract
The spinal segmental myoclonus by viral radiculitis has been rarely reported and the pathophysiology remains to be elucidated. However, the hyperactivity of contiguous anterior horn neurons induced by viral irritation has been suggested to be a possible patho-mechanism. In general, spinal segmental myoclonus is not well-controlled by medication and the patient suffers from continuous involuntary movement. We recently experienced a case of spinal segmental myoclonus induced by herpes zoster radiculitis, and which was successfully relieved by epidural injections.
참고문헌 (12)
- Jankovic J, "Clinical and pharmacologic study", Arch Neurol, 43, pp.1025~1031 (1986)
- Hoehn MM, "Spinal myoclonus", Neurology, 27, pp.942~946 (1977)
- Dhaliwal GS, "Spinal myoclonus in association with herpes zoster infection : two case reports", Can J Neurol Sci, 1, pp.239~241 (1974)
- Estraneo A, "Spinal myoclonus following herpes zoster radiculitis", Neurology, 68, pp.E4~ (2007)
- Koppel BS, "Segmental myoclonus preceding herpes zoster radiculitis", Eur Neurol, 32, pp.264~266 (1992)
- Caviness JN, "Myoclonus : current concepts and recent advances", Lancet Neurol, 3, pp.598~607 (2004)
- Davis SM, "Stimulus-sensitive spinal myoclonus", J Neurol Neurosurg Psychiatry, 44, pp.884~888 (1981)
- van Wijck AJ, "Evidence-based interventional pain medicine according to clinical diagnoses. 17. Herpes zoster and post-herpetic neuralgia", Pain Pract, 11, pp.88~97 (2011)
- Conliffe TD, "Herpes zoster radiculopathy treated with fluoroscopically-guided selective nerve root injection", Pain Physician, 12, pp.851~853 (2009)
- Abdi S, "Epidural steroids in the management of chronic spinal pain: a systematic review", Pain Physician, 10, pp.185~212 (2007)
- 심우석, "대상포진 및 대상포진후신경통 환자의 치료", The Korean Journal of Pain, 21(2), pp.93~105 (2008), 대한통증학회
- Abdi S, "Role of epidural steroids in the management of chronic spinal pain : a systematic review of effectiveness and complications", Pain Physician, 8, pp.127~143 (2005)