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Segmental abdominal zoster paresis.

B Jandolo1, G Biolcati, U Montanari

  • 1Istituto Regina Elena per lo Studio e la Cura dei Tumori, Servizio di Neurologia, Roma.

Rivista Di Neurologia
|July 1, 1987
PubMed
Summary
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Herpes zoster can cause rare segmental abdominal paresis. Electromyography is crucial for detecting motor defects in thoracoabdominal segments.

Area of Science:

  • Neurology
  • Infectious Diseases
  • Dermatology

Background:

  • Herpes zoster, commonly known as shingles, is a viral infection caused by the varicella-zoster virus.
  • While typically presenting with a characteristic rash and neuropathic pain, atypical presentations can occur.

Observation:

  • This case report details an uncommon manifestation of herpes zoster involving segmental abdominal paresis.
  • The paresis affected specific thoracoabdominal segments, indicating a localized neurological impact.

Findings:

  • The study highlights the importance of actively seeking motor deficits in patients with herpes zoster affecting the trunk.
  • Electromyographic examination proved to be a valuable tool in identifying and confirming the extent of the motor impairment.

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Implications:

  • Clinicians should consider herpes zoster as a potential cause of segmental paresis, even without a typical rash.
  • Early detection of motor involvement through electrodiagnostic testing can guide appropriate management and prognosis for patients with atypical herpes zoster.