Complete recovery of herpes zoster radiculopathy based on electrodiagnostic study:A case report  

作　　者：Hyeon Seong Kim Ji Won Jung You Jin Jung Young Suck Ro Si-Bog Park Kyu Hoon Lee 

机构地区：[1]Department of Rehabilitation Medicine,Hanyang University Hospital,Seoul 04763,South Korea [2]Department of Dermatology,Hanyang University Hospital,Seoul 04763,South Korea

出　　处：《World Journal of Clinical Cases》2021年第17期4303-4309,共7页世界临床病例杂志

摘　　要：BACKGROUND Herpes zoster is a painful infectious disease caused by the varicella zoster virus.Herpes zoster radiculopathy,which is a type of segmental zoster paresis,can complicate the disease and cause motor weakness.This complication should be considered when a patient with a rash complains of acute-onset motor weakness,and the diagnosis can be verified via electrodiagnostic study.CASE SUMMARY A 64-year-old female with a history of asthma presented to the emergency department with stabbing pain,an itching sensation,and a rash on the right anterior shoulder that had begun 5 d prior.Physical examination revealed multiple erythematous grouped vesicles in the right C4-5 and T1 dermatome regions.Because herpes zoster was suspected,the patient immediately received intravenous acyclovir.On the third hospital day,she complained of motor weakness in the right upper extremity.Magnetic resonance imaging of the cervical spine revealed mild intervertebral disc herniation at C4-C5 without evidence of nerve root compression.On the 12th hospital day,electrodiagnostic study revealed right cervical radiculopathy,mainly in the C5/6 roots.Six months later,monoparesis resolved,and follow-up electrodiagnostic study was normal.CONCLUSION This case emphasizes that clinicians should consider the possibility of postherpetic paresis,such as herpes zoster radiculopathy,and that electrodiagnostic study is useful for diagnosis and follow-up.

关 键 词：Herpes zoster RADICULOPATHY ELECTRODIAGNOSIS Varicella zoster virus Monoparesis Case report 

分 类 号：R752.12[医药卫生—皮肤病学与性病学]