Please use this identifier to cite or link to this item:
https://doi.org/10.1155/2016/7827140
DC Field | Value | |
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dc.title | A Rare Complication of Herpes Zoster: Segmental Zoster Paresis | |
dc.contributor.author | Teo, H.K | |
dc.contributor.author | Chawla, M | |
dc.contributor.author | Kaushik, M | |
dc.date.accessioned | 2020-10-26T05:13:24Z | |
dc.date.available | 2020-10-26T05:13:24Z | |
dc.date.issued | 2016 | |
dc.identifier.citation | Teo, H.K, Chawla, M, Kaushik, M (2016). A Rare Complication of Herpes Zoster: Segmental Zoster Paresis. Case Reports in Medicine 2016 : 7827140. ScholarBank@NUS Repository. https://doi.org/10.1155/2016/7827140 | |
dc.identifier.issn | 16879627 | |
dc.identifier.uri | https://scholarbank.nus.edu.sg/handle/10635/179946 | |
dc.description.abstract | Herpes zoster is a common presentation in both the community and emergency department; however segmental zoster paresis is a rare complication that can lead to misdiagnosis. We present a case of a 74-year-old Indian gentleman with a background of well controlled diabetes mellitus, hypertension, and ischaemic heart disease who presented with sudden right lower limb weakness. This was preceded by a 5-day history of paraesthesia starting in the right foot and ascending up the right lower limb. On examination, there was a characteristic vesicular rash in the L2/3 region with MRC grading 3/5 in the right hip flexors. The rest of the neurological examination was unremarkable. MRI of the spine did not show any evidence of spinal disease. The patient was initiated on IV acyclovir with improvement of the lower limb weakness to MRC grading 5/5 as the vesicles improved. This is an interesting case as it highlights a rare presentation of zoster: segmental motor paresis that recovered fully with resolution of the rash. It shows the importance of recognizing motor neuropathy as a complication of shingles as it has a very good prognosis with most patients regaining full motor function of the affected limb with treatment. © 2016 Hooi Khee Teo et al. | |
dc.rights | Attribution 4.0 International | |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0/ | |
dc.source | Unpaywall 20201031 | |
dc.subject | aciclovir | |
dc.subject | aged | |
dc.subject | antiviral therapy | |
dc.subject | Article | |
dc.subject | case report | |
dc.subject | dermatome | |
dc.subject | diabetes mellitus | |
dc.subject | emergency ward | |
dc.subject | herpes zoster | |
dc.subject | human | |
dc.subject | hyperesthesia | |
dc.subject | hypertension | |
dc.subject | ischemic heart disease | |
dc.subject | limb weakness | |
dc.subject | lumbar spine | |
dc.subject | male | |
dc.subject | medical history | |
dc.subject | musculoskeletal system examination | |
dc.subject | nuclear magnetic resonance imaging | |
dc.subject | palliative therapy | |
dc.subject | paresis | |
dc.subject | paresthesia | |
dc.subject | segmental zoster paresis | |
dc.subject | spine radiography | |
dc.subject | thoracic spine | |
dc.subject | vesicular rash | |
dc.subject | viral skin disease | |
dc.type | Article | |
dc.contributor.department | DUKE-NUS MEDICAL SCHOOL | |
dc.description.doi | 10.1155/2016/7827140 | |
dc.description.sourcetitle | Case Reports in Medicine | |
dc.description.volume | 2016 | |
dc.description.page | 7827140 | |
Appears in Collections: | Staff Publications Elements |
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