Abstract
We present a case of herpes zoster (HZ) with some uncommon features, namely lumbar localization and muscle weakness with a distribution different from the site of cutaneous eruptions and sensory deficits. Spread of HZ virus from sensory ganglion to anterior horn cells seems the only possible explanation of these clinical features. Urinary retntion and CSF data confirm the hypothesis of HZ myelitis.
Sommario
Viene descritto un caso con aspetti insoliti di Herpes Zoster (HZ), in particolare la localizzazione lombare e la presenza di ipostenia con distribuzione differente rispetto alla sede dell'eruzione cutanea e del deficit sensitivo. La diffusione del virus dal ganglio sensitivo ai motoneuroni nelle corna anteriori sembra essere la sola spiegazione possibile per tutti questi aspetti clinici. La ritenzione urinaria ed i dati liquorali confermano l'ipotesi di mielite da HZ.
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References
Bellavitis A:Nevrassite da herpes zoster: contributo clinico-anatomico. Riv. Neurol 4, 337–362, 1931.
Boudin G, Barbizet J, Brion S, Bepin B:L'encéphalo-myélite zostérienne, à propos de deux observations antomo-cliniques. Rev. Neurol 99, 535–537, 1958.
Denny-Brown D, Adams R:Pathologic features of herpes zoster: a note on “geniculate herpes”. Arch Neurol Psychiatry 51, 216–231, 1944.
Gibbon NKO:A case of herpes zoster with involvement of the urinary bladder. Brit J Urol 2, 417–421, 1956.
Grant BD, Rowe CR:Motor paralysis of the extremities in herpes zoster. J Bone Jt Surg 43A, 885–896, 1961.
Head H, Campbell AW:The pathology of herpes zoster and its bearing on sensory localization. Brain 23:353–523, 1900.
Hogan EL, Krigman MR:Herpes zoster myelitis. Arch Neurol 29, 309–313, 1983.
Izumi AI, Edwards J:Herpes zoster and neurogenic bladder dysfunction. J Amer Med Ass 224, 1748–1749, 1973.
Lhermitte I, Nicolas M:Les lésiones spinales du zona: la myélite zostérienne. Rev Neurol 1, 361–364, 1924.
Mckendall R, Klawans HL:Nervous system complications of varicella-zoster virus. In: Handbook of Clinical Neurolgy (Vinken PJ, Bruyn GW, eds). Elsevier-North Holland Publ Co, Vol 34, 161–183, 1978.
Muder RR, Lumiah RM, Corsello GR:Myelopathy after herpes zoster. Arch Neurol 40, 445–446, 1983.
Rose FC, Brett EM, Busrton J:Zoster encephalomyelitis. Arch Neurol 11, 155–172, 1964.
Schuback A:Herpes Zoster und Landrysche Paralyse. Zentralbl Neurol Psychat 123, 424–433, 1930.
Thalhimer W:Herpes zoster: central nervous system lesions similar to those of epidemic (lethargic) encephalitis: report of a case. Arch Neurol Psychiatry 12, 73–79, 1924.
Thomas IE, Howard FM:Segmental zoster paresis — a disease profile. Neurology 22, 459–466, 1972.
Wohlwill F:Zur pathologischen Anatomie des Nervensystems beim Herpes Zoster (auf Grund von zehn Sektionsfaellen) Z Ges Neurol Psychiat 89, 171–212, 1924.
Wohlwill F:Herpes Zoster. In: Handbuch der Neurologie (Bumke O, Foerster O, eds), Julius Springer Verlag, Berlin, Vol 13, 1–63, 1936.
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Schoenhuber, R., Bortolotti, P., Panzetti, P. et al. Lumbosacral herpes zoster myelitis. Ital J Neuro Sci 7, 541–543 (1986). https://doi.org/10.1007/BF02342035
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DOI: https://doi.org/10.1007/BF02342035