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Spinal segmental myoclonus improved with epidural blockade in a patient with herpes zoster radiculitis

  • Han, Su-Hyun (Department of Neurology, Chung-Ang University Hospital, Chung-Ang University College of Medicine) ;
  • Jeong, Hae-Bong (Department of Neurology, Chung-Ang University Hospital, Chung-Ang University College of Medicine) ;
  • Yoo, Il-Han (Department of Neurology, Chung-Ang University Hospital, Chung-Ang University College of Medicine) ;
  • Ahn, Suk-Won (Department of Neurology, Chung-Ang University Hospital, Chung-Ang University College of Medicine)
  • 투고 : 2016.10.06
  • 심사 : 2016.11.30
  • 발행 : 2017.01.31

초록

The spinal segmental myoclonus by viral radiculitis has been rarely reported and the pathophysiology remains to be elucidated. However, the hyperactivity of contiguous anterior horn neurons induced by viral irritation has been suggested to be a possible patho-mechanism. In general, spinal segmental myoclonus is not well-controlled by medication and the patient suffers from continuous involuntary movement. We recently experienced a case of spinal segmental myoclonus induced by herpes zoster radiculitis, and which was successfully relieved by epidural injections.

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참고문헌

  1. Jankovic J, Pardo R. Segmental myoclonus. Clinical and pharmacologic study. Arch Neurol 1986;43:1025-1031. https://doi.org/10.1001/archneur.1986.00520100039012
  2. Hoehn MM, Cherington M. Spinal myoclonus. Neurology 1977;27:942-946. https://doi.org/10.1212/WNL.27.10.942
  3. Dhaliwal GS, McGreal DA. Spinal myoclonus in association with herpes zoster infection: two case reports. Can J Neurol Sci 1974;1:239-241. https://doi.org/10.1017/S0317167100019831
  4. Estraneo A, Saltalamacchia AM, Loreto V. Spinal myoclonus following herpes zoster radiculitis. Neurology 2007;68:E4. https://doi.org/10.1212/01.wnl.0000246115.54997.1b
  5. Koppel BS, Daras M. Segmental myoclonus preceding herpes zoster radiculitis. Eur Neurol 1992;32:264-266. https://doi.org/10.1159/000116838
  6. Caviness JN, Brown P. Myoclonus: current concepts and recent advances. Lancet Neurol 2004;3:598-607. https://doi.org/10.1016/S1474-4422(04)00880-4
  7. Davis SM, Murray NM, Diengdoh JV, Galea-Debono A, Kocen RS. Stimulus-sensitive spinal myoclonus. J Neurol Neurosurg Psychiatry 1981;44:884-888. https://doi.org/10.1136/jnnp.44.10.884
  8. van Wijck AJ, Wallace M, Mekhail N, van Kleef M. Evidence-based interventional pain medicine according to clinical diagnoses. 17. Herpes zoster and post-herpetic neuralgia. Pain Pract 2011;11:88-97. https://doi.org/10.1111/j.1533-2500.2010.00428.x
  9. Conliffe TD, Dholakia M, Broyer Z. Herpes zoster radiculopathy treated with fluoroscopically-guided selective nerve root injection. Pain Physician 2009;12:851-853.
  10. Abdi S, Datta S, Trescot AM, Schultz DM, Adlaka R, Atluri SL, et al. Epidural steroids in the management of chronic spinal pain: a systematic review. Pain Physician 2007;10:185-212.
  11. Sim WS, Choi CH, Han KR, Kim YC. Treatment of herpes zoster and postherpetic neuralgia. Korean J Pain 2008;21:93-105. https://doi.org/10.3344/kjp.2008.21.2.93
  12. Abdi S, Datta S, Lucas LF. Role of epidural steroids in the management of chronic spinal pain: a systematic review of effectiveness and complications. Pain Physician 2005;8:127-143.