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Zoster paresis.

H Erdem Tilki1, N Mutluer, D Selçuki

  • 1Department of Neurology, Ondokuz Mayis University, Medical Faculty, Samsun, Turkey. hacererdem@superonline.com

Electromyography and Clinical Neurophysiology
|July 3, 2003
PubMed
Summary
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Herpes zoster (HZ) can cause motor paresis, affecting nerve function. This case highlights diagnosing HZ motor involvement when skin lesions are absent or delayed, emphasizing radiculopathy in cervical segments.

Area of Science:

  • Neurology
  • Infectious Diseases
  • Dermatology

Background:

  • Herpes zoster (HZ), a viral reactivation, typically affects sensory nerves, causing rash and pain.
  • While sensory symptoms are common, HZ can also lead to motor involvement, known as HZ-related motor paresis.
  • Diagnosis of motor paresis is straightforward with classic skin lesions but challenging when these are absent or atypical.

Observation:

  • This report details a patient presenting with significant motor symptoms and signs as the primary clinical features.
  • The patient experienced HZ-related motor paresis stemming from radiculopathy in the cervical nerve segments.
  • Clinical presentation preceded or followed the typical cutaneous eruption of herpes zoster.

Findings:

  • Cervical radiculopathy due to HZ can manifest primarily as motor weakness, mimicking other neurological conditions.

Related Experiment Videos

  • The diagnosis of HZ-induced motor paresis requires high clinical suspicion, especially in the absence of or delay in cutaneous manifestations.
  • Early recognition of HZ motor paresis is crucial for timely management and preventing long-term neurological deficits.

    • Implications:

    • This case underscores the importance of considering HZ in the differential diagnosis of acute motor weakness, particularly with cervical radiculopathy.
    • Awareness of HZ's potential for motor involvement, even without prominent skin lesions, can improve diagnostic accuracy.
    • Further research into the mechanisms and clinical spectrum of HZ motor neuropathy is warranted.