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Motor Paresis Caused by Herpes Zoster in Patients with Rotator Cuff Tear -A report cases-  

Kim, Kee Hyun (Department of Anesthesiology and Pain Medicine, Daejeon St. Mary's Hospital, The Catholic University of Korea College of Medicine)
Sohn, Yoon Suk (Department of Anesthesiology and Pain Medicine, Daejeon St. Mary's Hospital, The Catholic University of Korea College of Medicine)
Yoon, Keon Jung (Department of Anesthesiology and Pain Medicine, Daejeon St. Mary's Hospital, The Catholic University of Korea College of Medicine)
Song, Chul Hun (Department of Anesthesiology and Pain Medicine, Daejeon St. Mary's Hospital, The Catholic University of Korea College of Medicine)
Oh, Sae Cheol (Department of Anesthesiology and Pain Medicine, Daejeon St. Mary's Hospital, The Catholic University of Korea College of Medicine)
Publication Information
The Korean Journal of Pain / v.19, no.2, 2006 , pp. 299-302 More about this Journal
Abstract
Segmental zoster paresis is characterized by focal, asymmetric motor weakness in the myotome corresponding to the dermatome of the rash. A 73-year-old man, who presented with severe right shoulder pain and shoulder girdle muscle weakness, was diagnosed with segmental zoster paresis involvement of the C5⁣-C6 motor roots as a complication of herpes zoster. Girdle muscles (supraspinatus, deltoid and infraspinatus) atrophy had developed in his right shoulder. An MRI showed rotator cuff tearing in his right shoulder; therefore, an arthroscopic rotator cuff repair was performed. Herein, this case is presented to emphasize the importance of considering post-herpetic segmental motor paresis in the differential diagnosis of acute painful motor weakness of the upper extremities.
Keywords
muscle atrophy; rotator cuff tear; segmental zoster paresis;
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