A retrospective case series of segmental zoster paresis of limbs: clinical, electrophysiological and imaging characteristics
Abstract Background Segmental zoster paresis (SZP) of limbs, characterized by focal weakness of extremity, is recognized as a rare complication of herpes zoster (HZ). The following study analyzes the clinical characteristics and data from electromyography and MRI scans in patients with motor weaknes...
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BMC
2018-08-01
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| Series: | BMC Neurology |
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| Online Access: | http://link.springer.com/article/10.1186/s12883-018-1130-4 |
| _version_ | 1811281449334079488 |
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| author | Ying Liu Bing-Yun Wu Zhen-Shen Ma Juan-Juan Xu Bing Yang Heng Li Rui-Sheng Duan |
| author_facet | Ying Liu Bing-Yun Wu Zhen-Shen Ma Juan-Juan Xu Bing Yang Heng Li Rui-Sheng Duan |
| author_sort | Ying Liu |
| collection | DOAJ |
| description | Abstract Background Segmental zoster paresis (SZP) of limbs, characterized by focal weakness of extremity, is recognized as a rare complication of herpes zoster (HZ). The following study analyzes the clinical characteristics and data from electromyography and MRI scans in patients with motor weakness after zoster infection. Methods One thousand three hundred ninety-three patients from our database (Shandong Provincial Qianfoshan Hospital) suffering from HZ were retrospectively reviewed from June 2015 to July 2017. Patients who fulfilled the diagnostic criteria for SZP were included in the analysis. The clinical characteristics, as well as electromyography findings and MRI scans were analyzed. Results SZP was present in 0.57% of patients with HZ (8/1393). The average age of symptom onset in 8 SZP patients was 69 years old (SD: 13, range 47–87). The severity of muscle weakness ranged from mild to severe. The electrophysiological testing revealed the characteristics of axonopathy. Radiculopathy (2/8), plexopathy (2/8), radiculoplexopathy (3/8) and combined radiculopathy and mononeuropathy (1/8) were also identified. MRI revealed hyperintensity of the affected spinal dorsal horns, nerve roots or peripheral nerves. Conclusions SZP is associated with obvious limb weakness, nerve axons lesions and localization to nerve roots, plexus or peripheral nerves. |
| first_indexed | 2024-04-13T01:33:48Z |
| format | Article |
| id | doaj.art-08168c8c56e04fd0b7c5cbfe6fee77e4 |
| institution | Directory Open Access Journal |
| issn | 1471-2377 |
| language | English |
| last_indexed | 2024-04-13T01:33:48Z |
| publishDate | 2018-08-01 |
| publisher | BMC |
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| series | BMC Neurology |
| spelling | doaj.art-08168c8c56e04fd0b7c5cbfe6fee77e42022-12-22T03:08:26ZengBMCBMC Neurology1471-23772018-08-011811910.1186/s12883-018-1130-4A retrospective case series of segmental zoster paresis of limbs: clinical, electrophysiological and imaging characteristicsYing Liu0Bing-Yun Wu1Zhen-Shen Ma2Juan-Juan Xu3Bing Yang4Heng Li5Rui-Sheng Duan6Department of Electromyography, Shandong Provincial Qianfoshan Hospital, Shandong UniversityDepartment of Electromyography, Shandong Provincial Qianfoshan Hospital, Shandong UniversityDepartment of radiology, Shandong Provincial Qianfoshan Hospital, Shandong UniversityDepartment of Electromyography, Shandong Provincial Qianfoshan Hospital, Shandong UniversityDepartment of Neurology, Shandong Provincial Qianfoshan Hospital, Shandong UniversityDepartment of Neurology, Shandong Provincial Qianfoshan Hospital, Shandong UniversityDepartment of Neurology, Shandong Provincial Qianfoshan Hospital, Shandong UniversityAbstract Background Segmental zoster paresis (SZP) of limbs, characterized by focal weakness of extremity, is recognized as a rare complication of herpes zoster (HZ). The following study analyzes the clinical characteristics and data from electromyography and MRI scans in patients with motor weakness after zoster infection. Methods One thousand three hundred ninety-three patients from our database (Shandong Provincial Qianfoshan Hospital) suffering from HZ were retrospectively reviewed from June 2015 to July 2017. Patients who fulfilled the diagnostic criteria for SZP were included in the analysis. The clinical characteristics, as well as electromyography findings and MRI scans were analyzed. Results SZP was present in 0.57% of patients with HZ (8/1393). The average age of symptom onset in 8 SZP patients was 69 years old (SD: 13, range 47–87). The severity of muscle weakness ranged from mild to severe. The electrophysiological testing revealed the characteristics of axonopathy. Radiculopathy (2/8), plexopathy (2/8), radiculoplexopathy (3/8) and combined radiculopathy and mononeuropathy (1/8) were also identified. MRI revealed hyperintensity of the affected spinal dorsal horns, nerve roots or peripheral nerves. Conclusions SZP is associated with obvious limb weakness, nerve axons lesions and localization to nerve roots, plexus or peripheral nerves.http://link.springer.com/article/10.1186/s12883-018-1130-4Herpes zosterSegmental zoster paresisInfectious neuropathyNerve conductionElectromyographyNerve MRI |
| spellingShingle | Ying Liu Bing-Yun Wu Zhen-Shen Ma Juan-Juan Xu Bing Yang Heng Li Rui-Sheng Duan A retrospective case series of segmental zoster paresis of limbs: clinical, electrophysiological and imaging characteristics BMC Neurology Herpes zoster Segmental zoster paresis Infectious neuropathy Nerve conduction Electromyography Nerve MRI |
| title | A retrospective case series of segmental zoster paresis of limbs: clinical, electrophysiological and imaging characteristics |
| title_full | A retrospective case series of segmental zoster paresis of limbs: clinical, electrophysiological and imaging characteristics |
| title_fullStr | A retrospective case series of segmental zoster paresis of limbs: clinical, electrophysiological and imaging characteristics |
| title_full_unstemmed | A retrospective case series of segmental zoster paresis of limbs: clinical, electrophysiological and imaging characteristics |
| title_short | A retrospective case series of segmental zoster paresis of limbs: clinical, electrophysiological and imaging characteristics |
| title_sort | retrospective case series of segmental zoster paresis of limbs clinical electrophysiological and imaging characteristics |
| topic | Herpes zoster Segmental zoster paresis Infectious neuropathy Nerve conduction Electromyography Nerve MRI |
| url | http://link.springer.com/article/10.1186/s12883-018-1130-4 |
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