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KMID : 0363120060190020299
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Korean Journal of Pain
2006 Volume.19 No. 2 p.299 ~ p.301
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Motor Paresis Caused by Herpes Zoster in Patients with Rotator Cuff Tear - A report cases -
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Kim Kee-Hyun
Son Youn-Sook
Yoon Keon-Jung
Song Chul-Hun
Oh Sae-Cheol
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Abstract
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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.
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KEYWORD
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muscle atrophy, rotator cuff tear, segmental zoster paresis
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