帯状疱疹に合併したC5運動麻痺の1例

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  • A Case of C5 Motor Paralysis Complicating Herpes Zoster

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Herpes zoster may be complicated by motor neuropathy such as Ramsay-Hunt syndrome. We experienced a case with left C5 nerve root palsy which complicated herpes zoster. We report on this case with some consideration of literatures. The patient was a 75-year-old male. He was aware of difficulties in left shoulder elevation and abduction. The next day, painful skin lesions appeared on his left C5 region. After being diagnosed as herpes zoster, he was transferred to our department. We recognized weakness of the left deltoid and biceps, deep tendon reflexes of the biceps and brachioradialis. We observed C5 nerve root inflammation in enhanced MRI, and diagnosed C5 radiculopathy derived from herpes zoster. His symptoms were improved by oral steroids in addition to antiviral drugs administered in the early disease. It has been reported that motor nerve palsy due to herpes zoster occurs about in 3% of all patients. It is important to consider this disease when we find rash and limb motor paralysis at the same time.

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