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Segmental abdominal herpes zoster paresis
The Australian and New Zealand Journal of Surgery
|October 1, 1986
Summary
A 63-year-old man experienced segmental abdominal paresis from thoraco-abdominal herpes zoster. This condition, caused by peripheral motor paresis, typically resolves spontaneously, indicating a good prognosis.
Area of Science:
- Neurology
- Infectious Diseases
- Dermatology
Background:
- Herpes zoster, commonly known as shingles, is caused by the reactivation of the varicella-zoster virus.
- Thoraco-abdominal involvement can present with diverse neurological complications.
- Segmental paresis is an uncommon manifestation of herpes zoster.
Observation:
- A case study of a 63-year-old male patient presenting with segmental abdominal paresis is detailed.
- The paresis was directly attributed to thoraco-abdominal herpes zoster infection.
- Clinical examination confirmed peripheral motor paresis as the underlying mechanism.
Findings:
- The patient's condition involved localized weakness in the abdominal musculature.
- Diagnosis was confirmed through clinical presentation and likely viral etiology.
- The paresis was identified as a direct consequence of the herpes zoster affecting peripheral nerves.
Implications:
- This case highlights the importance of considering herpes zoster in the differential diagnosis of acute abdominal symptoms and motor deficits.
- Peripheral motor paresis due to herpes zoster has a favorable prognosis.
- Spontaneous resolution of symptoms is expected, suggesting conservative management is often appropriate.