대상포진성 다발신경뿌리척수염 1예

A Case of Polyradiculomyelitis Associated With Herpes Zoster

  • 김두현 (영남대학교 의과대학 신경과학교실) ;
  • 박민수 (영남대학교 의과대학 신경과학교실)
  • Kim, Doo-Hyun (Department of Neurology, Yeungnam University College of Medicine) ;
  • Park, Min-Su (Department of Neurology, Yeungnam University College of Medicine)
  • 투고 : 2010.12.27
  • 심사 : 2011.03.30
  • 발행 : 2011.06.30

초록

Shingles is a latent viral infection of the sensory ganglia. It can be accompanied by a variety of neurologic complications, including polyradiculitis and myelitis. A 66-year-old man with diabetes mellitus presented with progressive weakness, hypethesia and neuralgic pain in his right arm after herpes zoster infection in right C5 dermatome. He was diagnosed with zoster polyradiculomyelitis and treated with intravenous acyclovir and corticosteroid. It is a rare case of zoster neurologic complication in spite of oral acyclovir treatment.

키워드

참고문헌

  1. Weaver BA. Herpes zoster overview: natural history and incidence. J Am Osteopath Assoc 2009;109:2-6.
  2. Gnann JW Jr. Varicella-zoster virus: atypical presentations and unusual complications. J Infect Dis 2002;186:91-98. https://doi.org/10.1086/342963
  3. Chinen J, Shearer WT. Secondary immunodeficiencies, including HIV infection. J Allergy Clin Immunol 2008;121:388-392. https://doi.org/10.1016/j.jaci.2007.06.003
  4. Johnson RW, Wasner G, Saddier P, Baron R. Herpes zoster and postherpetic neuralgia: optimizing management in the elderly patient. Drugs Aging 2008;25:991-1006. https://doi.org/10.2165/0002512-200825120-00002
  5. Choi CH, Ahn SH, Park YE, Kim DS. Segmental zoster paresis showing spinal nerve roots involvement on gadolinium-enhanced MRI. J Korean Neurol Assoc 2006;24:274-277.
  6. Braveman DL, Ku A, Nagler W. Herpes zoster polyradiculopathy. Arch Phys Med Rehabil 1997;78:880-882. https://doi.org/10.1016/S0003-9993(97)90204-5
  7. Mustafa MB, Arduino PG, Porter SR. Varicella zoster virus: review of its management. J Oral Pathol Med 2009;38:673-688. https://doi.org/10.1111/j.1600-0714.2009.00802.x
  8. Yylmaz S, Koseolu HK, Yucel E. Transverse myelitis caused by varicella zoster: case reports. Braz J Infect Dis 2007;11:179-181. https://doi.org/10.1590/S1413-86702007000100040
  9. Hogan EL, Krigman MR. Herpes zoster myelitis. Evidence for viral invasion of spinal cord. Arch Neurol 1973;29:309-313. https://doi.org/10.1001/archneur.1973.00490290049004
  10. Lionakis MS, Kontoyiannis DP. Glucocorticoids and invasive fungal infections. Lancet 2003;362:1828-1838. https://doi.org/10.1016/S0140-6736(03)14904-5