カワジリ　スミヒロ   KAWAJIRI Sumihiro   河尻　澄宏    所属   医学部 医学科（附属東洋医学研究所）    職種   准教授
論文種別	症例報告
言語種別	英語
査読の有無	査読あり
表題	Segmental zoster paresis of limbs: report of three cases and review of literature.
掲載誌名	正式名：The neurologist 略　 称：Neurologist ISSNコード：10747931/10747931
掲載区分	国外
巻・号・頁	13(5),pp.313-7
著者・共著者	Kawajiri Sumihiro, Tani Momo, Noda Kazuyuki, Fujishima Kenji, Hattori Nobutaka, Okuma Yasuyuki
担当区分	筆頭著者
発行年月	2007/09
概要	OBJECTIVES:Segmental zoster paresis is a relatively rare complication characterized by focal motor weakness, which may occur in limbs affected by herpes zoster. We demonstrate the clinical characteristics of segmental zoster paresis by reviewing the cases of 138 patients, including 3 of our patients.CASE REPORT AND REVIEW SUMMARY:We report 3 patients with zoster paresis of the limbs. Patients 1 and 3 showed motor weakness in the left shoulder and arm after developing a herpetic rash in the left C5-C6 dermatomes. Patient 2 showed weakness in the right thigh and groin after a right L2-L3 herpetic eruption. The electromyograms of all 3 patients showed abnormal spontaneous activity in the affected muscles. Intravenous acyclovir and corticosteroid pulse therapy were added to oral antiviral drugs for patients 1 and 2. All 3 patients recovered favorably. Our review of the literature revealed that antiviral treatment may prevent the occurrence of zoster paresis; however, there is insufficient evidence to show what treatment hastens recovery from zoster paresis.CONCLUSIONS:Segmental zoster paresis is still underrecognized by neurologists. Awareness of this disorder is important because it may eliminate unnecessary invasive investigations and lead to appropriate treatment. Further studies on the treatment are necessary.
DOI	10.1097/NRL.0b013e31811e9d6d
PMID	17848871