Herpes zoster-induced abdominal wall paresis: neurophysiological examination in this unusual complication
| Autor: | M. Concepción Pérez-Conde, Susana Santiago-Pérez, Roberto Nevado-Estévez |
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| Rok vydání: | 2011 |
| Předmět: |
Male
medicine.medical_specialty Electromyography Herpes Zoster Abdominal wall Lesion Evoked Potentials Somatosensory Dermatomal medicine Humans Paresis Abdominal Muscles Aged Neurologic Examination medicine.diagnostic_test business.industry Abdominal Wall Sensory loss Anatomy musculoskeletal system Surgery body regions medicine.anatomical_structure Neurology Dermatome Somatosensory evoked potential Neurology (clinical) medicine.symptom business |
| Zdroj: | Journal of the neurological sciences. 312(1-2) |
| ISSN: | 1878-5883 |
| Popis: | Background Herpes zoster affects essentially sensory fibres with segmental distribution. Abdominal wall paresis is a rare complication. Aims of the study We present the case of a 72 year-old man with herpes zoster infection in T11–T12 left dermatomes and segmental abdominal wall protrusion. Methods Electromyography (EMG) and dermatomal somatosensory evoked potentials (DSEPs) were performed 27 days after symptoms onset. Results EMG confirmed acute axonal lesion in left external oblique muscle and left paraspinal muscles at T11–T12 level and DSEPs assessed topographic distribution: there was no response in the left side at T12 dermatome. Three months following the onset of shingles, the abdominal wall protrusion had completely resolved. Conclusions Neurophysiological examination, including EMG and DSEPs, confirms motor and sensory loss in this unusual post-herpetic complication. |
| Databáze: | OpenAIRE |
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