회전근 개 파열환자에서 대상포진에 의한 운동신경 불완전마비 -증례보고-

Motor Paresis Caused by Herpes Zoster in Patients with Rotator Cuff Tear -A report cases-

  • 김기현 (가톨릭대학교 의과대학 대전성모병원 마취통증의학과) ;
  • 손윤숙 (가톨릭대학교 의과대학 대전성모병원 마취통증의학과) ;
  • 윤건중 (가톨릭대학교 의과대학 대전성모병원 마취통증의학과) ;
  • 송철헌 (가톨릭대학교 의과대학 대전성모병원 마취통증의학과) ;
  • 오세철 (가톨릭대학교 의과대학 대전성모병원 마취통증의학과)
  • Kim, Kee Hyun (Department of Anesthesiology and Pain Medicine, Daejeon St. Mary's Hospital, The Catholic University of Korea College of Medicine) ;
  • Sohn, Yoon Suk (Department of Anesthesiology and Pain Medicine, Daejeon St. Mary's Hospital, The Catholic University of Korea College of Medicine) ;
  • Yoon, Keon Jung (Department of Anesthesiology and Pain Medicine, Daejeon St. Mary's Hospital, The Catholic University of Korea College of Medicine) ;
  • Song, Chul Hun (Department of Anesthesiology and Pain Medicine, Daejeon St. Mary's Hospital, The Catholic University of Korea College of Medicine) ;
  • Oh, Sae Cheol (Department of Anesthesiology and Pain Medicine, Daejeon St. Mary's Hospital, The Catholic University of Korea College of Medicine)
  • 투고 : 2006.09.08
  • 심사 : 2006.12.07
  • 발행 : 2006.12.30

초록

Segmental zoster paresis is characterized by focal, asymmetric motor weakness in the myotome corresponding to the dermatome of the rash. A 73-year-old man, who presented with severe right shoulder pain and shoulder girdle muscle weakness, was diagnosed with segmental zoster paresis involvement of the C5⁣-C6 motor roots as a complication of herpes zoster. Girdle muscles (supraspinatus, deltoid and infraspinatus) atrophy had developed in his right shoulder. An MRI showed rotator cuff tearing in his right shoulder; therefore, an arthroscopic rotator cuff repair was performed. Herein, this case is presented to emphasize the importance of considering post-herpetic segmental motor paresis in the differential diagnosis of acute painful motor weakness of the upper extremities.

키워드

참고문헌

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