title: Zoster-associated segmental paresis in a patient with cervical spinal stenosis.
abstract: Segmental zoster paresis is a rare complication of herpes zoster, characterized by focal motor weakness that does not always present simultaneously with skin lesions. Zoster paresis can be easily confused with other neuromuscular or spinal diseases. This case report describes the case of a 72-year-old woman with herpes zoster and cervical spinal stenosis at the same spinal level, where it was difficult to distinguish segmental zoster paresis from cervical radiculopathy combined with motor neuropathy. Although segmental zoster paresis in the upper extremity is rare, it should be included in the differential diagnosis of segmental pain and weakness in the extremities, especially in older or immunocompromised patients. Correct diagnosis is required, to avoid unnecessary surgery and allow timely antiviral treatment.
authors: Department of Anaesthesia and Pain Medicine, The Catholic University of Korea, College of Medicine, Incheon St Mary's Hospital, Republic of Korea.
authors: Sung-Hee
authors: SH
authors: Kang
authors: Ho-Kyung
authors: HK
authors: Song
authors: Yeon
authors: Y
authors: Jang
mesh_terms: D000368:Aged; D003937:Diagnosis, Differential; D005260:Female; D006562:Herpes Zoster / Q000150:complications / Q000175:diagnosis / Q000473:pathology* / Q000821:virology; D014645:Herpesvirus 3, Human; D006801:Humans; D009134:Muscular Atrophy, Spinal / Q000175:diagnosis; D010291:Paresis / Q000150:complications / Q000175:diagnosis / Q000473:pathology* / Q000821:virology; D011843:Radiculopathy / Q000175:diagnosis; D013130:Spinal Stenosis / Q000150:complications / Q000175:diagnosis / Q000473:pathology* / Q000821:virology; D013131:Spine / Q000473:pathology* / Q000821:virology
keywords: Segmental zoster paresis; spinal stenosis