2015
DOI: 10.1186/s13104-015-1272-z
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Herpes zoster sciatica mimicking lumbar canal stenosis: a case report

Abstract: BackgroundSymptom of herpes zoster is sometimes difficult to distinguish from sciatica induced by spinal diseases, including lumbar disc herniation and spinal canal stenosis. Here we report a case of sciatica mimicking lumbar canal stenosis.Case presentationA 74-year-old Chinese male patient visited our hospital for left-sided sciatic pain upon standing or walking for 5 min of approximately 1 month’s duration. At the first visit to our hospital, there were no skin lesions. A magnetic resonance imaging showed s… Show more

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Cited by 15 publications
(9 citation statements)
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“…MRI with gadolinium contrast would be expected to show abnormal signal on T2-weighted images and/or contrast enhancement of the affected nerves 2. Cerebrospinal fluid PCR is not a useful test because of lower sensitivity and is not indicated unless there is suggestion of meningitis or encephalitis 2 4…”
Section: Discussionmentioning
confidence: 99%
“…MRI with gadolinium contrast would be expected to show abnormal signal on T2-weighted images and/or contrast enhancement of the affected nerves 2. Cerebrospinal fluid PCR is not a useful test because of lower sensitivity and is not indicated unless there is suggestion of meningitis or encephalitis 2 4…”
Section: Discussionmentioning
confidence: 99%
“…It requires careful examination of the medical history, improvement of physical examination, combined with imaging examination to make a clear diagnosis. Otherwise, it is easy to be misdiagnosed, and the surgery that should not be done brings pain and economic burden to the patient (7).…”
Section: Discussionmentioning
confidence: 99%
“…8 Other laboratory tests such as Tzanck test and viral DNA in blood or cerebrospinal fluid are not useful in excluding the diagnosis because of lower sensitivity. 9 Herpes zoster reactivation can also involve the motor neurons, leading to paresis in 1% to 5% of cases known as segmental zoster paresis. 10 Radicular pain combined with motor weakness can mimic other spinal pathologies and make the diagnosis difficult, especially in the absence of classic cutaneous…”
Section: Discussionmentioning
confidence: 99%
“… 8 Other laboratory tests such as Tzanck test and viral DNA in blood or cerebrospinal fluid are not useful in excluding the diagnosis because of lower sensitivity. 9 …”
Section: Discussionmentioning
confidence: 99%