Korean J Pain.  2006 Dec;19(2):299-302. 10.3344/kjp.2006.19.2.299.

Motor Paresis Caused by Herpes Zoster in Patients with Rotator Cuff Tear: A report cases

Affiliations
  • 1Department of Anesthesiology and Pain Medicine, Daejeon St. Mary's Hospital, The Catholic University of Korea, College of Medicine, Daejeon, Korea. oscane@hanmail.net

Abstract

Segmental zoster paresis is characterized by focal, asymmetric motor weakness in the myotome corresponding to the dermatome of the rash. A 73-year-old man, who presented with severe right shoulder pain and shoulder girdle muscle weakness, was diagnosed with segmental zoster paresis involvement of the C5 C6 motor roots as a complication of herpes zoster. Girdle muscles (supraspinatus, deltoid and infraspinatus) atrophy had developed in his right shoulder. An MRI showed rotator cuff tearing in his right shoulder; therefore, an arthroscopic rotator cuff repair was performed. Herein, this case is presented to emphasize the importance of considering post-herpetic segmental motor paresis in the differential diagnosis of acute painful motor weakness of the upper extremities.

Keyword

muscle atrophy; rotator cuff tear; segmental zoster paresis
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