JOURNAL BROWSE
Search
Advanced SearchSearch Tips
Delayed-onset Muscular Paralysis after Cutaneous Herpes Zoster Mimicking Rotator Cuff Tear -Case Report-
facebook(new window)  Pirnt(new window) E-mail(new window) Excel Download
  • Journal title : Clinics in Shoulder and Elbow
  • Volume 7, Issue 2,  2004, pp.94-97
  • Publisher : Korean Shoulder and Elbow Society
  • DOI : 10.5397/CiSE.2004.7.2.094
 Title & Authors
Delayed-onset Muscular Paralysis after Cutaneous Herpes Zoster Mimicking Rotator Cuff Tear -Case Report-
Oh Joo Han; Gong Hyun Sik; Kim Hyun Ho;
  PDF(new window)
 Abstract
Herpes zoster presents clinically with cutaneous vesicular eruption and pain along the dermatome, but it can sometimes cause muscular paralysis. When the disease involves cervical root, it is included in the differential diagnosis of shoulder diseases. A sixty-six year old patient, complaining of severe pain and weakness of his left shoulder, was referred to the authors as having a partial tear of the supraspinatus tendon on MRI. However, the authors found out a paralysis of the sixth cervical root in the patient by electrophysiologic studies, noting that the patient had been affected with a herpes eruption in the neck and arm two months before. Zoster paresis has been reported to be associated with the cutaneous eruption within two weeks of its onset, making its diagnosis not so difficult. The authors report a case of delayed-onset muscular paralysis after cutaneous herpes zoster, which presented just like a rotator cuff tear.
 Keywords
Rotator cuff tear;Herpes zoster;Delayed-onset muscular paralysis;
 Language
Korean
 Cited by
 References
1.
Akiyama N: Herpes zoster infection complicated by motor paralysis. J Dermatol, 27:252-257, 2000.

2.
Broadbent WH: Case of herpetic eruption in the course of branches of the brachial plexus, followed by partial paralysis in corresponding motor nerves. Br Med J, 2:460, 1866.

3.
Cioni R, Giannini F, Passero S, et al: An elecromyographic evaluation of motor complication in thoracic herpes zoster. Electromyogr Clin Neurophysiol, 34:125-128, 1994.

4.
Esposito MB, Arrington JA, Murtaugh FR, Coleman JM and Sergay SM: MR of the spinal cord in a patient with herpes zoster. Am J Neuro-radiol, 14:203-204, 1993.

5.
Gupta SK, Helal BH and Kiely P: The prognosis in zoster paralysis. J Bone Joint Surg, 51-B:593-603,1969.

6.
Hanakawa T, Hashimoto S, Kawamura J, Nakawara M, Suenaga T and Matsuo M: Magnetic resonance imaging in a patient with segmental zoster paresis. Neurology, 49:631-632, 1997. crossref(new window)

7.
Kendall D: Motor complications of herpes zoster. Br Med J, 14;13:616-618,1957.

8.
Molloy MG and Goodwill CJ: Herpes zoster and lower motor neuron paresis. Rheumatol Rehabil, 18:170-173,1979. crossref(new window)

9.
Schreck P, Schreck P, Bradley J and Chambers H: Musculoskeletal complications of varicella. J Bone Joint Surg, 78-A:1713-1718, 1996.

10.
Stowasser M, Cameron J and Oliver WA: Diaphragmatic paralysis following cervical herpes zoster. Med J Aust, 153:555-556,1990.

11.
Thomas JE and Howard FM: Segmental zoster maresis - a disease profile. Neurology, 22:459-466,1972. crossref(new window)

12.
Tilki HE, Mutluer N, Selcuki D and Stalberg E: Zoster paresis. Electomyogr Clin Neurophysiol, 43:231-234,2003.

13.
Yaszay B, Jablecki CK and Safran MR: Zoster paresis of the shoulder. Case report and review of the literature. Clin Orthop. 377:112-118, 2000. crossref(new window)