THE IMPORTANT OF NEUROPHYSIOLOGY EXAMINATION IN DIAGNOSING SEGMENTAL ZOSTER PARESIS: CASE REPORT
Background: Segmental zoster paresis (SZP) is a very uncommon complication characterized by localized weakening of the upper or lower limbs. Case report: A 69-year-old man came with complaints of weakness in the right leg two months ago. He had weakness in his right leg after two days of having he...
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| Format: | Article |
| Language: | English |
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University of Brawijaya
2023-07-01
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| Series: | Malang Neurology Journal |
| Subjects: | |
| Online Access: | https://mnj.ub.ac.id/index.php/mnj/article/view/658 |
| _version_ | 1797740456393572352 |
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| author | Eric Hartono Tedyanto Ni Made Dwita Pratiwi I Komang Arimbawa I Putu Eka Widyadharma |
| author_facet | Eric Hartono Tedyanto Ni Made Dwita Pratiwi I Komang Arimbawa I Putu Eka Widyadharma |
| author_sort | Eric Hartono Tedyanto |
| collection | DOAJ |
| description | Background: Segmental zoster paresis (SZP) is a very uncommon complication characterized by localized weakening of the upper or lower limbs.
Case report: A 69-year-old man came with complaints of weakness in the right leg two months ago. He had weakness in his right leg after two days of having herpes on his right leg. There was paresthesia and hypesthesia on neurological examination according to the L1-L3 dermatome. Neurophysiology examination revealed a neuropathy in the right femoral nerve.
Discussion: Varicella-zoster virus, being a neurotrophic virus, primarily invades and incubates in the dorsal root or cerebral ganglion nerve cells. Etiological investigations in SZP patients have revealed that the anterior root is the most prevalent location of inflammation and degeneration.
Conclusion: SZP is a rare complication following VZV infection that can lead to misdiagnosis and overtreatment in clinical practice. The neurophysiological examination is very important in diagnosing segmental zoster paresis. |
| first_indexed | 2024-03-12T14:12:42Z |
| format | Article |
| id | doaj.art-8046a2b080b34d3bad0be15eeb7f05ac |
| institution | Directory Open Access Journal |
| issn | 2407-6724 2442-5001 |
| language | English |
| last_indexed | 2024-03-12T14:12:42Z |
| publishDate | 2023-07-01 |
| publisher | University of Brawijaya |
| record_format | Article |
| series | Malang Neurology Journal |
| spelling | doaj.art-8046a2b080b34d3bad0be15eeb7f05ac2023-08-21T06:35:06ZengUniversity of BrawijayaMalang Neurology Journal2407-67242442-50012023-07-019217217410.21776/ub.mnj.2023.009.02.19450THE IMPORTANT OF NEUROPHYSIOLOGY EXAMINATION IN DIAGNOSING SEGMENTAL ZOSTER PARESIS: CASE REPORTEric Hartono Tedyanto0Ni Made Dwita Pratiwi1I Komang Arimbawa2I Putu Eka Widyadharma3Department of Neurology, Faculty of Medicine, Universitas Udayana, Bali, IndonesiaDepartment of Neurology, Faculty of Medicine, Universitas Udayana, Bali, IndonesiaDepartment of Neurology, Faculty of Medicine, Universitas Udayana, Bali, IndonesiaDepartment of Neurology, Faculty of Medicine, Universitas Udayana, Bali, IndonesiaBackground: Segmental zoster paresis (SZP) is a very uncommon complication characterized by localized weakening of the upper or lower limbs. Case report: A 69-year-old man came with complaints of weakness in the right leg two months ago. He had weakness in his right leg after two days of having herpes on his right leg. There was paresthesia and hypesthesia on neurological examination according to the L1-L3 dermatome. Neurophysiology examination revealed a neuropathy in the right femoral nerve. Discussion: Varicella-zoster virus, being a neurotrophic virus, primarily invades and incubates in the dorsal root or cerebral ganglion nerve cells. Etiological investigations in SZP patients have revealed that the anterior root is the most prevalent location of inflammation and degeneration. Conclusion: SZP is a rare complication following VZV infection that can lead to misdiagnosis and overtreatment in clinical practice. The neurophysiological examination is very important in diagnosing segmental zoster paresis.https://mnj.ub.ac.id/index.php/mnj/article/view/658herpes zostersegmental zoster paresisvaricella zoster |
| spellingShingle | Eric Hartono Tedyanto Ni Made Dwita Pratiwi I Komang Arimbawa I Putu Eka Widyadharma THE IMPORTANT OF NEUROPHYSIOLOGY EXAMINATION IN DIAGNOSING SEGMENTAL ZOSTER PARESIS: CASE REPORT Malang Neurology Journal herpes zoster segmental zoster paresis varicella zoster |
| title | THE IMPORTANT OF NEUROPHYSIOLOGY EXAMINATION IN DIAGNOSING SEGMENTAL ZOSTER PARESIS: CASE REPORT |
| title_full | THE IMPORTANT OF NEUROPHYSIOLOGY EXAMINATION IN DIAGNOSING SEGMENTAL ZOSTER PARESIS: CASE REPORT |
| title_fullStr | THE IMPORTANT OF NEUROPHYSIOLOGY EXAMINATION IN DIAGNOSING SEGMENTAL ZOSTER PARESIS: CASE REPORT |
| title_full_unstemmed | THE IMPORTANT OF NEUROPHYSIOLOGY EXAMINATION IN DIAGNOSING SEGMENTAL ZOSTER PARESIS: CASE REPORT |
| title_short | THE IMPORTANT OF NEUROPHYSIOLOGY EXAMINATION IN DIAGNOSING SEGMENTAL ZOSTER PARESIS: CASE REPORT |
| title_sort | important of neurophysiology examination in diagnosing segmental zoster paresis case report |
| topic | herpes zoster segmental zoster paresis varicella zoster |
| url | https://mnj.ub.ac.id/index.php/mnj/article/view/658 |
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