An unusual case of flaccid paralysis of both lower limbs following herpes zoster.
A 57-year-old man with left T8-9 cutaneous Herpes Zoster lesions and subsequent development of flaccid paralysis of both lower limbs is reported. Viral studies strongly supported a diagnosis of Herpes Zoster. No other cause for the paralysis was found. The time interval between the cutaneous lesions and the motor weakness, the clinical course and good recovery suggest a causal relationship. The dermatomal and myotomal dissociation has been well-documented on the ipsilateral side, but involvement of the contralateral side is rare. This would appear to be unusual in that there was bilateral weakness of "LMN type".
D003168:Complement Fixation Tests; D006562:Herpes Zoster / Q000150:complications* / Q000276:immunology; D006801:Humans; D007866:Leg; D008297:Male; D008875:Middle Aged; D009123:Muscle Hypotonia; D010243:Paralysis / Q000209:etiology*