Tuberc Respir Dis.  2006 Jul;61(1):80-82.

Diaphragmatic Paralysis Following Cervical Herpes Zoster

• Kim SY
• Hwang KE
• Jung JH
• Park JH
• Kim HJ
• Kim HR
• Yang SH
• Park HY
• Jeong ET

Abstract

Herpes zoster is well-known viral disease in immune compromised that produces inflammatory lesions in the posterior root ganglia and is characterized clinically by pain and skin eruptions along the distribution of the affected ganglia. However, motor involvement after a herpes zoster is an uncommon complication. We report a case of diaphragmatic paralysis that occurred after a herpes zoster in 63-year-old woman. The diaphragmatic paralysis occurred one month after the typical herpes zoster eruptions affecting the C3 and C4 dermatomes in the right neck, shoulder and back area.

Keyword

Herpes zoster; Diaphragmatic paralysis

MeSH Terms

Female
Ganglia
Herpes Zoster*
Humans
Middle Aged
Neck
Respiratory Paralysis*
Shoulder
Skin
Virus Diseases

Figure

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  Figure 1 Herpetic lesion (healing state) of right neck and shoulder.

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  Figure 2 Chest X-ray shows marked elevated right diaphragm.

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  Figure 3 A. Normal nerve conduction velocity(Lt. phrenic nerve) B. Paralysed phrenic nerve conduction velocity(Rt. phrenic nerve). This figure shows increased latency and decreased amplitude.

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