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Related Experiment Videos

Paralysis in herpes zoster.

T Rosenfeld, M A Price

    Australian and New Zealand Journal of Medicine
    |December 1, 1985
    PubMed
    Summary

    Herpes zoster, a common viral infection, can cause muscle weakness (paresis) and bladder dysfunction, often overlooked due to pain. Early diagnosis of this motor involvement is crucial for effective management, especially in older adults.

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    Area of Science:

    • Neurology
    • Infectious Diseases
    • Dermatology

    Background:

    • Herpes zoster (shingles) commonly affects middle-aged and elderly individuals.
    • The typical zoster syndrome includes rash, sensory changes, and pain.
    • Motor involvement is a less recognized but significant aspect of herpes zoster.

    Observation:

    • Four cases of herpes zoster with motor deficits are presented.
    • Observed motor impairments included paresis affecting the arm and hand.
    • One case demonstrated urinary retention due to an atonic bladder.

    Findings:

    • Motor loss in herpes zoster is often obscured by pain, leading to underdiagnosis.
    • The presented cases illustrate diverse clinical features of zoster with motor involvement.
    • Functional implications of unrecognized motor deficits are significant, particularly in the elderly.

    Implications:

    • Highlights the importance of recognizing motor involvement in herpes zoster.
    • Emphasizes the need for early and accurate diagnosis of zoster-related motor deficits.
    • Underscores the necessity of prompt management to mitigate functional consequences, especially in geriatric populations.

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