TRAVMA SONRASI ALT EKSTREMİTE PARALİZİSİNE YOL AÇAN ZONA ZOSTER OLGUSU

Abstract

Zona zoster genellikle tek taraflı dermatomal alanda vesiküller ve duysal semptomlarla seyreder. Nadiren motor paralizilere yol açar. Tip II diyabet hastası olan bu olguda, alçı ile stabilize edilen fibula kırığından altı hafta sonra L4-L5 dermatomunda vesiküller, peroneal, tibial ve femoral sinirleri içeren distalde daha belirgin motor paralizi gelişmiştir. Lomber MR görüntülemede sol lomber bölgede lomber pleksitis ile uyumlu kontrast tutulumu saptanmıştır. Zona zosterin travma sonrası tetiklenebilmesi ve pleksus tutulumuna yol açabilmesini hatırlatması açısından sunulmaya değer bulunmuştur.

Keywords

• Zona zoster
• Motor paralizi
• Travma

Abstract

Zona zoster usually progresses with vesicles and sensory symptoms in the unilateral dermatomal area. It rarely causes motor paralysis. In the present case, a type II diabetes patient had developed distal motor paralysis accompanied by vesicles on the L4-L5 dermatome including peroneal, tibial and femoral nerves six weeks after the fibula bone fracture stabilized with a cast. Lumbar MR imaging showed contrast enhancement consistent in left lumbar area that points out lumbar plexitis. Zona zoster was found to be worth presenting as it can be triggered after trauma and can lead to plexus involvement.

Keywords

• Zona zoster
• Motor paralysis
• Trauma

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