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Parálisis por Zóster Segmentario con Síndrome del Túnel Carpiano Comórbido

Rachel M Bristow¹, Charis Won¹, Nissy Lee¹

¹Physical Medicine and Rehabilitation, New York Institute of Technology College of Osteopathic Medicine, Jonesboro, USA.

|December 22, 2025

Resumen

Este reporte de caso detalla un paciente con radiculitis C6 y síndrome del túnel carpiano simultáneos, destacando los desafíos diagnósticos del síndrome de doble compresión y la paresia por zóster segmentario.

Área de la Ciencia:

Neurología
Electrofisiología Clínica

Sus antecedentes:

Un hombre de 63 años se presentó con debilidad deltoidea aguda después de un brote de culebrilla que afectó el dermatoma C6.
El paciente tenía antecedentes de síndrome del túnel carpiano, lesión por uso excesivo del hombro e inyección previa de cortisona.

Objetivo del estudio:

Describir un caso complejo de patologías nerviosas proximales y distales concurrentes.
Discutir los desafíos diagnósticos y el manejo del síndrome de doble compresión y la paresia por zóster segmentario.

Principales métodos:

Pruebas electrodiagnósticas (EDX) iniciales.
Repetición de estudios EDX cinco meses después del inicio de los síntomas.

Principales resultados:

La EDX inicial reveló radiculitis C6 y neuropatía mediano severa con pérdida axonal.
La EDX de seguimiento mostró mejoría en la lesión C6 pero neuropatía mediano sin cambios.
Esto sugiere un escenario de "síndrome de doble compresión".

Conclusiones:

Las patologías nerviosas proximales y distales concurrentes presentan complejidad diagnóstica.
El manejo y la historia natural de la paresia por zóster segmentario requieren una cuidadosa consideración.
La EDX es crucial para diferenciar y monitorear dichas condiciones.

Palabras clave:

síndrome del túnel carpiano estudios electrodiagnósticos electromiografía zóster paresia por zóster segmentario virus de la varicela-zóster

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