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http://dx.doi.org/10.3344/kjp.2009.22.2.181

Zoster Paresis Misconceived as a Radiculopathy due to Herniated Intervertebral Disc  

Kim, Hyun Jee (Department of Anesthesiology and Pain Medicine, Kyungpook National University School of Medicine)
Yeo, Jin Seok (Department of Anesthesiology and Pain Medicine, Kyungpook National University School of Medicine)
Jeon, Young Hun (Department of Anesthesiology and Pain Medicine, Kyungpook National University School of Medicine)
Choi, Jy Young (Department of Anesthesiology and Pain Medicine, Kyungpook National University School of Medicine)
Ha, Mi Jin (Department of Anesthesiology and Pain Medicine, Kyungpook National University School of Medicine)
Hong, Jung Gil (Department of Anesthesiology and Pain Medicine, Kyungpook National University School of Medicine)
Publication Information
The Korean Journal of Pain / v.22, no.2, 2009 , pp. 181-185 More about this Journal
Abstract
Herpes zoster is a viral disease of the posterior root ganglion and sensory nerve fiber, which presents clinically with vesicular eruption of the skin, radicular pain and sensory changes in the distribution of the affected ganglion. However, involvement of the motor neurons can be seen as well. If classic cutaneous lesions are present, herpes zoster-related motor paresis is easily diagnosed. Otherwise, the diagnosis may be more difficult and suspicious, especially if weakness occurs as a symptom before cutaneous lesions appear, or abnormal findings on the MRI are consistent with the signs. There have been few reports of sciatica with motor loss preceding skin lesions. Here, we report a patient with herpes zoster-related motor paresis preceding skin lesions. In the preliminary diagnosis, the herpes zoster-related motor paresis was confused for some structural disorder.
Keywords
herpes zoster; paresis;
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Times Cited By KSCI : 1  (Citation Analysis)
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