J Korean Orthop Assoc.  2017 Aug;52(4):350-353. 10.4055/jkoa.2017.52.4.350.

A Fast Recovery of Muscle Weakness after Zoster-Induced Brachial Plexitis

Affiliations
  • 1Department of Orthopaedic Surgery, Myongji Hospital, Seonam University College of Medicine, Goyang, Korea. mmcos437@naver.com
  • 2Department of Orthopaedic Surgery, National Health Insurance Service Ilsan Hospital, Goyang, Korea.
  • 3Department of Orthopaedic Surgery, Inje University Seoul Paik Hospital, Goyang, Korea.

Abstract

Varicella zoster virus (VZV)-induced brachioplexitis is a rare disease, characterized by exacerbating ipsilateral upper extremity pain, muscular weakness, and delay in recovery. We report a 54-year-old female patient who made an early recovery from VZV-induced brachioplexitis via the treatment with stellate ganglion blocks, which may have prevented pain sensation, vasoconstriction, and nerve scarring during the early treatment period.

Keyword

varicella zoster virus; brachioplexitis; muscle weakness; stellate ganglion block

MeSH Terms

Cicatrix
Female
Herpesvirus 3, Human
Humans
Middle Aged
Muscle Weakness*
Rare Diseases
Sensation
Stellate Ganglion
Upper Extremity
Vasoconstriction

Figure

  • Figure 1 Multiple grouped vesicular lesions in C4, 5, 6 dermatomes of left upper limb.

  • Figure 2 A coronal view of the neck magnetic resonance imaging of the patient showing high signal change on left brachial plexus (arrow).


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