Öz
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.
Anahtar Kelimeler
Kaynakça
- 1. Wareham DW, Breuer J. Herpes zoster. BMJ. 2007;334(7605):1211-5.
- 2. Gnann JW Jr, Whitley RJ. Clinical practice. Herpes zoster. N Engl J Med. 2002;347(5):340-6.
- 3. Arvin AM. Varicella-zoster virus. Clin Microbiol Rev. 1996;9(3):361-81.
- 4. Hata A, Kuniyoshi M, Ohkusa Y. Risk of Herpes zoster in patients with underlying diseases: a retrospective hospital-based cohort study. Infection. 2011;39(6):537–44.
- 5. Hanakawa T, Hashimoto S, Kawamura J, Nakamura M, Suenaga T, Matsuo M. Magnetic resonance imaging in a patient with segmental zoster paresis. Neurology. 1997;49(2):631–632.
- 6. Yoleri Ö, Ölmez N, Öztura İ, Şengül İ, Günaydın R, Memiş A. Segmental zoster paresis of the upper extremity: a case report. Archives of Physical Medicine and Rehabilitation. 2005;86(7):1492–94.
- 7. Gupta SK, Helal BH, Kiely P. The prognosis in zoster paralysis. J Bone Joint Surg Br. 1969;51:593–603.
- 8. Yaszay B, Jablecki CK, Safran MR. Zoster paresis of the shoulder. Case report and review of the literature. Clin Orthop Relat Res. 2000;(377):112–8.
- 9. Fabian VA, Wood B, Crowley P, Kakulas BA. Herpes zoster brachial plexus neuritis. Clin Neuropathol. 1997;16:61–4.
- 10. Eyigor S, Durmaz B, Karapolat H. Monoparesis with complex regional pain syndrome-like symptoms due to brachial plexopathy caused by the varicella zoster virus: a case report. Arch Phys Med Rehabil. 2006;87:1653–5.
- 11. Economou PG. Hemiparesis and Bell's palsy following brachial plexus herpes zoster. JAMA. 1984;252(8):1012.
- 12. Leo AM, Kasper DA, Saxena A. Atypical herpes zoster infection preceded by sciatica and foot drop. Archives of Dermatology. 2009;145(8):954–55.
- 13. Ece Ü, Ulaş ÜH, Odabaşı Z, Yılmaz Ö, Çalçı A. Herpes zoster radiculopathy: report of two cases. Journal of Neurological Sciences. 2005;22(3):319–24.
- 14. Shin MK, Choi CP, Lee MH. A case of herpes zoster with abducens palsy. Journal of Korean Medical Science. 2007;22(5):905–907.
Öz
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.
Anahtar Kelimeler
Destekleyen Kurum
yok
Teşekkür
yok
Kaynakça
- 1. Wareham DW, Breuer J. Herpes zoster. BMJ. 2007;334(7605):1211-5.
- 2. Gnann JW Jr, Whitley RJ. Clinical practice. Herpes zoster. N Engl J Med. 2002;347(5):340-6.
- 3. Arvin AM. Varicella-zoster virus. Clin Microbiol Rev. 1996;9(3):361-81.
- 4. Hata A, Kuniyoshi M, Ohkusa Y. Risk of Herpes zoster in patients with underlying diseases: a retrospective hospital-based cohort study. Infection. 2011;39(6):537–44.
- 5. Hanakawa T, Hashimoto S, Kawamura J, Nakamura M, Suenaga T, Matsuo M. Magnetic resonance imaging in a patient with segmental zoster paresis. Neurology. 1997;49(2):631–632.
- 6. Yoleri Ö, Ölmez N, Öztura İ, Şengül İ, Günaydın R, Memiş A. Segmental zoster paresis of the upper extremity: a case report. Archives of Physical Medicine and Rehabilitation. 2005;86(7):1492–94.
- 7. Gupta SK, Helal BH, Kiely P. The prognosis in zoster paralysis. J Bone Joint Surg Br. 1969;51:593–603.
- 8. Yaszay B, Jablecki CK, Safran MR. Zoster paresis of the shoulder. Case report and review of the literature. Clin Orthop Relat Res. 2000;(377):112–8.
- 9. Fabian VA, Wood B, Crowley P, Kakulas BA. Herpes zoster brachial plexus neuritis. Clin Neuropathol. 1997;16:61–4.
- 10. Eyigor S, Durmaz B, Karapolat H. Monoparesis with complex regional pain syndrome-like symptoms due to brachial plexopathy caused by the varicella zoster virus: a case report. Arch Phys Med Rehabil. 2006;87:1653–5.
- 11. Economou PG. Hemiparesis and Bell's palsy following brachial plexus herpes zoster. JAMA. 1984;252(8):1012.
- 12. Leo AM, Kasper DA, Saxena A. Atypical herpes zoster infection preceded by sciatica and foot drop. Archives of Dermatology. 2009;145(8):954–55.
- 13. Ece Ü, Ulaş ÜH, Odabaşı Z, Yılmaz Ö, Çalçı A. Herpes zoster radiculopathy: report of two cases. Journal of Neurological Sciences. 2005;22(3):319–24.
- 14. Shin MK, Choi CP, Lee MH. A case of herpes zoster with abducens palsy. Journal of Korean Medical Science. 2007;22(5):905–907.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Konular | Klinik Tıp Bilimleri |
| Bölüm | Olgu Sunumu |
| Yazarlar | |
| Yayımlanma Tarihi | 17 Ocak 2024 |
| Kabul Tarihi | 26 Mayıs 2021 |
| Yayımlandığı Sayı | Yıl 2024 Cilt: 25 Sayı: 1 - OCAK 2024 SAYISI |
Kaynak Göster
