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Herpes zoster polyradiculopathy

D L Braverman1, A Ku, W Nagler

  • 1Department of Rehabilitation Medicine, The New York Hospital-Cornell Medical Center, New York, USA.

Archives of Physical Medicine and Rehabilitation
|August 1, 1997
PubMed
Summary
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Herpes zoster, a reactivation of varicella zoster virus, typically causes a rash. Rarely, it leads to peripheral motor weakness, a condition requiring specific rehabilitation strategies.

Area of Science:

  • Neurology
  • Infectious Diseases
  • Rehabilitation Medicine

Background:

  • Herpes zoster (shingles) is caused by varicella zoster virus reactivation.
  • It commonly presents as a painful, unilateral vesicular rash along a dermatome.
  • Peripheral motor weakness is a rare but recognized complication.

Observation:

  • This report details three cases of focal limb muscle weakness in patients with herpes zoster.
  • The underlying mechanism for this motor weakness remains unclear.
  • Patients experienced weakness in specific muscle groups.

Findings:

  • Physical and occupational therapy were crucial for the recovery of motor function in these patients.
  • The study highlights the importance of rehabilitation for postherpetic motor weakness.

Related Experiment Videos

  • Early recognition and intervention are key for optimal outcomes.

    • Implications:

    • Physiatrists should consider herpes zoster radiculopathy in patients presenting with unexplained limb weakness.
    • This condition warrants specific attention in the literature and clinical practice.
    • Effective rehabilitation protocols can significantly improve functional recovery in affected individuals.