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Volume: 33  Issue: 4  Year: 2020
  Segmental Zoster Paresis of the Lower Extremity: Case Report [Ağrı]
Ağrı. Ahead of Print: AGRI-70846 | DOI: 10.14744/agri.2021.70846  

Segmental Zoster Paresis of the Lower Extremity: Case Report

Selin Balta1, Gül Köknel Talu2
1University of Health Sciences, Konya Training and Research Hospital, Algology Department
2Istanbul University, Istanbul Faculty of Medicine, Department of Anestesiology and Reanimation, Algology Section.

Herpes Zoster (HZ), is a segmental vesicular eruption, pain, and sensorial symptoms. Segmental motor weakness can rarely be seen as a complication of HZ. Here we present two cases of motor paresis associated with herpes zoster, case 1 was L2 and L3 segmental motor paresis with femoral neuropathy and case2 was L5 and S1 segmental motor paresis with sensorial ganglion involvement. In both cases after electrotherapy, exercise program, and medication for pain there were no motor weakness and pain. Zoster motor paresis is a rare complication that responds to treatment and physicians should be careful about its presence in clinical follow-up.

Keywords: zona, postherpetic neuralgia, segmental zoster paresis


Alt Ekstremitenin Segmantal Zoster Parezisi: Olgu Sunumu

Selin Balta1, Gül Köknel Talu2
1Sağlık Bilimleri Üniversitesi, Konya eğitim ve Araştırma Hastanesi, Algoloji Kliniği
2İstanbul Üniversitesi, İstanbul Tıp Fakültesi, Anesteziyoloji ve Reanimasyon Anabilimdalı, Algoloji Bilimdalı

Herpes Zoster (HZ), segmental veziküler döküntü, ağrı ve duyusal semptomlar ile karakterizedir. Segmental motor güçsüzlük, nadiren HZ'nin bir komplikasyonu olarak görülebilir. Burada herpes zoster ile ilişkili iki motor parezi olgusunu sunuyoruz. Olgu 1 L2 ve L3 segmental motor pareziye eşlik eden femoral nöropati, olgu 2 ise duyusal ganglion tutulumu ile birlikte L5 ve S1 segmental motor parezi idi. Elektroterapi, egzersiz programı ve ağrı kesici ilaç tedavisinden sonra her iki vakada motor güçsüzlük ve ağrıda belirgin iyileime görüldü. Zoster motor parezi, tedaviye yanıt veren nadir bir komplikasyondur ve hekimler klinik takipte olası varlığına dikkat etmelidir.

Anahtar Kelimeler: zona, postherpetik nevralji, segmental zoster parezi




Corresponding Author: Selin Balta, Türkiye


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