Segmental motor paralysis of the right upper limb in herpes zoster

Siddalingappa, Karjigi; Lokanatha, K

doi:10.4103/0378-6323.25800

Cited by 3 publications

(3 citation statements)

References 3 publications

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“…Similar with our case, it has been reported that the latency period between the onset of vesicular eruption and the development of limb weakness may vary from 1 day to 4 months with an average of 2-3 weeks [2,5]. Its onset can be abrupt, occurring over hours or 1 to 2 days, with little or no subsequent deterioration.…”

Section: Discussionsupporting

confidence: 89%

“…Herpes zoster can affect 10-20% of the general population and the majority of complications manifest as sensory disturbances [2]. Among the complications of herpes zoster, involvement of motor neurons has been reported to affect 2-3% of the cases [3].…”

Section: Discussionmentioning

confidence: 99%

“…Its onset can be abrupt, occurring over hours or 1 to 2 days, with little or no subsequent deterioration. Zoster paresis has been reported to affect the upper extremity more often than the lower extremity, preferentially segments C5 and C6 [2]. Also it has been indicated that there is a close relationship between dermatome and myotome involvements [3].…”

Section: Discussionmentioning

confidence: 99%

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An unusual cause of shoulder pain; Herpes Zoster induced brachial plexopathy, a case report and review of the literature

Melikoğlu

2013

BMR

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Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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An unusual cause of shoulder pain; Herpes Zoster induced brachial plexopathy, a case report and review of the literature

Melikoğlu

2013

BMR

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Looking back to move forward: a twenty-year audit of herpes zoster in Asia-Pacific

et al. 2017

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BackgroundHerpes zoster (HZ) is a prevalent viral disease that inflicts substantial morbidity and associated healthcare and socioeconomic burdens. Current treatments are not fully effective, especially among the most vulnerable patients. Although widely recommended, vaccination against HZ is not routine; barriers in Asia-Pacific include long-standing neglect of adult immunisation and sparse local data. To address knowledge gaps, raise awareness, and disseminate best practice, we reviewed recent data and guidelines on HZ from the Asia-Pacific region.MethodsWe searched PubMed, Scopus, and World Health Organization databases for articles about HZ published from 1994 to 2014 by authors from Australia, China, Hong Kong, India, Indonesia, Japan, Korea, Malaysia, New Zealand, the Philippines, Singapore, Taiwan, Thailand, and Vietnam. We selected articles about epidemiology, burden, complications, comorbidities, management, prevention, and recommendations/guidelines. Internet searches retrieved additional HZ immunisation guidelines.ResultsFrom 4007 retrieved articles, we screened-out 1501 duplicates and excluded 1264 extraneous articles, leaving 1242 unique articles. We found guidelines on adult immunisation from Australia, India, Indonesia, Malaysia, New Zealand, the Philippines, South Korea, and Thailand.HZ epidemiology in Asia-Pacific is similar to elsewhere; incidence rises with age and peaks at around 70 years – lifetime risk is approximately one-third. Average incidence of 3–10/1000 person-years is rising at around 5% per year. The principal risk factors are immunosenescence and immunosuppression. HZ almost always causes pain, and post-herpetic neuralgia is its most common complication. Half or more of hospitalised HZ patients have post-herpetic neuralgia, secondary infections, or inflammatory sequelae that are occasionally fatal. These disease burdens severely diminish patients’ quality of life and incur heavy healthcare utilisation.ConclusionsSeveral countries have abundant data on HZ, but others, especially in South-East Asia, very few. However, Asia-Pacific countries generally lack data on HZ vaccine safety, efficacy and cost-effectiveness. Physicians treating HZ and its complications in Asia-Pacific face familiar challenges but, with a vast aged population, Asia bears a unique and growing burden of disease. Given the strong rationale for prevention, most adult immunisation guidelines include HZ vaccine, yet it remains underused. We urge all stakeholders to give higher priority to adult immunisation in general and HZ in particular.Electronic supplementary materialThe online version of this article (doi:10.1186/s12879-017-2198-y) contains supplementary material, which is available to authorized users.

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Zoster-associated Limb Paralysis: Clinical and Electrophysiological Data of 15 Cases with Segmental Zoster Paresis with the Literature Review

Aykac,

Arı,

Ozoglan

et al. 2024

Neurological Sciences and Neurophysiology

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Background: Herpes zoster (HZ) is a viral disease characterized by skin eruptions and pain in specific dermatomes. Focal motor weakness that appears in the segment of skin eruptions is a rare complication of this infection. Because of the difficulty in clinically diagnosing thoracic or upper cervical motor weakness and due to the pain that causes overlooking of weakness, the true incidence of this complication is not known. In this study, we want to review the clinical presentation of segmental zoster paresis and also discuss electrophysiological findings with the involvement of nerve, plexus parts, or spinal roots. Methods: Electromyography records were examined retrospectively from 2010 to 2023 for patients who had HZ-associated limb paresis. Clinical data were reviewed and abstracted, and patients whose clinical limb weakness and sensory deficits conformed to the distribution of peripheral nerve (s) or spinal root and whose electrodiagnostic evaluation corroborated the localization, were included in the series. Results: Fifteen patients were included in our study. Ten of them were men and five of them were women. Paresis and neuropathic pain are the main complaints. In all patients, the distribution of paresis was consistent with the area of skin eruptions. C8–T1 in the upper extremity and L5–S1 in the lower extremity are the most commonly involved segments. Electrophysiological findings showed radicular involvement in three cases, brachial plexus in six cases, ulnar nerve in one case, sciatic nerve in two cases, and fibular nerve in three cases. Axonopathy is the main detected pathology in all cases. Conclusion: Segmental zoster paresis is a rare complication of cutaneous zona zoster and it affects different nerve segments. Clinicians should be aware of clinical and electrophysiological findings of this disease for the appropriate management of the patients.

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Segmental motor paralysis of the right upper limb in herpes zoster

Cited by 3 publications

References 3 publications

An unusual cause of shoulder pain; Herpes Zoster induced brachial plexopathy, a case report and review of the literature

An unusual cause of shoulder pain; Herpes Zoster induced brachial plexopathy, a case report and review of the literature

Looking back to move forward: a twenty-year audit of herpes zoster in Asia-Pacific

Zoster-associated Limb Paralysis: Clinical and Electrophysiological Data of 15 Cases with Segmental Zoster Paresis with the Literature Review

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