Isolated double herpes zoster paresis involving the left facial nerve and the right peroneal nerve following disseminated herpes zoster

Takahama, Hideto; Tsukahara, Nanako; Hirayama, Masatoshi; Sakuramoto, Chieko

doi:10.1111/j.1346-8138.2007.00286.x

Cited by 10 publications

(8 citation statements)

References 7 publications

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“…On the other hand, the literature review revealed only limited cases with postherpetic motor involvement. [16][17][18] Although some cases had a history of diabetes or cancer, a relationship between these features and postherpetic motor involvement was not discussed in this article.…”

Section: Discussionmentioning

confidence: 99%

Postherpetic foot drop in an elderly case: undiagnosed diabetes mellitus?

Öztürk¹

2017

Turk J Phys Med Rehab

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Postherpetic neuralgia is the most commonly seen complication of herpes zoster, primarily in elderly and immunocompromised patients. However, motor involvement due to herpes zoster is very rare. A 65-year-old male patient presented with left leg pain, numbness and difficulty walking. He was diagnosed with having herpes zoster and treated with valacyclovir. Despite anti-convulsant and physical therapy, the patient developed foot drop and had an unexplained weight loss. Clinical and laboratory findings suggested previously undiagnosed diabetes mellitus. Three weeks after initiation of insulin treatment, he became normoglycemic, his pain was reduced, and foot drop disappeared almost completely. Postherpetic motor involvement as an unusual complication may signal an underlying systemic disease, particularly in elderly.

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Section: Discussionmentioning

confidence: 99%

Postherpetic foot drop in an elderly case: undiagnosed diabetes mellitus?

Öztürk¹

2017

Turk J Phys Med Rehab

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“…6,7 Often, the characteristic rash will involve the spinal segment corresponding with the motor weakness, but this is by no means constant. 3 The motor weakness can even affect the contralateral side of the rash, but this is more unusual. 3 Our second patient had the characteristic rash involved the right S1 dermatome; however, the motor palsy predominantly affected the right L4 and L5 myotomes.…”

Section: Discussionmentioning

confidence: 99%

“…3 The motor weakness can even affect the contralateral side of the rash, but this is more unusual. 3 Our second patient had the characteristic rash involved the right S1 dermatome; however, the motor palsy predominantly affected the right L4 and L5 myotomes. This variability in anatomical distribution has been noted previously.…”

Section: Discussionmentioning

confidence: 99%

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Herpes Zoster Virus: An Unusual but Potentially Treatable Cause of Sciatica and Foot Drop

Rover¹,

Alazzawi²,

Hallam³

et al. 2011

Orthopedics

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The herpes zoster virus is a rare but potential cause of acute motor weakness. This article describes 2 patients with drop foot secondary to an infection of varicella zoster who were incorrectly referred to an orthopedic clinic from their general practitioners. The first patient was a 74-year-old man who presented with weakness in the right foot and a vesicular rash. The pattern of disease supported the clinical diagnosis of shingles affecting the L5 motor and sensory division. No investigation was required, and the patient was treated with a foot drop splint. The second patient was a 71-year-old man who presented with right leg and foot weakness and a vesicular rash affecting his right buttock and posterior right thigh. Lumbar magnetic resonance excluded a stenotic lesion; electrophysiological studies supported the diagnosis of a lower motor neuron lesion. The patient was treated with a 1-week course of acyclovir and a foot drop splint. The correct diagnosis will aid in correct referral and will prompt management, which will potentially provide a faster and better outcome for the patient.

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“…The lifetime risk of developing herpes zoster is 20 to 30%, with elderly and immunosuppressed patients being most commonly affected [1]. Timely initiation of antiviral medication may shorten its course, but occasionally neurological complications can persist [2]. Although the nociceptive, sensory, and dermatomal sequellae of active herpes zoster are well known, a relatively uncommon neurological complication is motor paresis of the peroneal nerve which can present clinically as acute foot drop alongside numbness along the dorsum of the foot [3,4].…”

Section: Introductionmentioning

confidence: 99%

Herpes Zoster: An Atypical Cause of Foot Drop - Case Report and Review of the Literature

Coogan¹,

Mobley²,

Hagemeijer³

et al. 2018

Int J Foot Ankle

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We report on an 81-year-old female who presented with acute, atraumatic right foot drop four weeks after developing herpes zoster in the ipsilateral L4 and L5 dermatomes treated with valacyclovir. Lumbar MRI revealed no explanatory abnormality, and the etiology of her right foot drop was presumed to be due to an outbreak of herpes zoster. After three months of physical therapy and bracing, her right lower extremity weakness greatly improved. We present a comprehensive literature review of atraumatic foot drop pathooetiology, with a focus on herpes zoster as a potential causative agent.

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Isolated double herpes zoster paresis involving the left facial nerve and the right peroneal nerve following disseminated herpes zoster

Cited by 10 publications

References 7 publications

Postherpetic foot drop in an elderly case: undiagnosed diabetes mellitus?

Postherpetic foot drop in an elderly case: undiagnosed diabetes mellitus?

Herpes Zoster Virus: An Unusual but Potentially Treatable Cause of Sciatica and Foot Drop

Herpes Zoster: An Atypical Cause of Foot Drop - Case Report and Review of the Literature

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