An unusual presentation of a lumbar hernia

Hindmarsh, Andrew; Mehta, Sudhir G.; Mariathas, D A

doi:10.1136/emj.19.5.460

Cited by 7 publications

(4 citation statements)

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“…In 1885, Taylor [15] reported the first known case of a patient with a segmental zoster abdominal paresis. Since that time, other similar cases have been described [10‐13,15‐45]. The aim of this article was to review the existing literature with regard to this specific complication and to summarize the findings from the published evidence.…”

Section: Introductionmentioning

confidence: 93%

Segmental Zoster Abdominal Paresis (Zoster Pseudohernia): A Review of the Literature

Chernev

Dado

2013

PM&R

137

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Herpes zoster is a distinct clinical syndrome that may present with a segmental zoster paresis. Although thoracic dermatomes are the most commonly affected, paresis of the abdominal muscles has been less frequently reported. To review the existing published evidence regarding this unusual clinical entity, a literature search of PubMed and Google was performed. In total, 35 articles that described 36 individual cases were identified. The information from all the cases was tabulated for the analysis. The mean age was 67.5 years. The ratio of men to women was approximately 4:1. The left and right side were approximately equally affected. The most affected associated dermatome was T11. In 88.9% of the patients, the typical herpetic rash preceded the abdominal weakness. The mean latent period from rash to onset of abdominal muscle weakness was 3.5 weeks. Electrodiagnostic studies confirmed the diagnosis in 95% of the tested patients. Complete recovery with conservative measures occurred in 79.3% of the patients who were followed-up for recovery, with a mean time for recovery of 4.9 months. Visceral neuropathy co-occurred in 19.4% of the patients. Because of its self-limited nature and good prognosis, recognition of this complication is important to prevent unnecessary diagnostic studies and procedures. Electrodiagnostic studies can be effectively used to confirm the diagnosis. Because visceral neuropathy commonly co-occurs with segmental zoster abdominal paresis, it should be actively investigated and treated.

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Section: Introductionmentioning

confidence: 93%

Segmental Zoster Abdominal Paresis (Zoster Pseudohernia): A Review of the Literature

Chernev

Dado

2013

PM&R

137

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“… 20 An interesting acquired lumbar hernia is believed to be from a case of herpes zoster exacerbation that resolved after resolution of the herpetic. 23 Although acquired hernias can also stem from inflammation and trauma, surgery is becoming an increasing cause of these hernias as increasing surgery in the retroperitoneal area is performed. 1 , 6 , 18 , 20 …”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Repair of Left Lumbar Hernia After Laparoscopic Left Nephrectomy

Gautier

Milone²,

Gumbs³

et al. 2010

JSLS

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“…Herniation of abdominal contents through the lumbar triangle can be congenital or acquired 1–3 . Burt et al ’s review of the literature found that 25% of acquired cases of lumbar hernia are secondary to lumbar abscess, trauma, or post‐surgical weakness.…”

Section: Discussionmentioning

confidence: 99%