Motor involvement in acute herpes zoster.

Abstract:

:Motor involvement in acute herpes zoster is considered rare, but its incidence is unknown. In a sample of 40 patients with acute herpes zoster of varying severity, an abnormal electromyogram (EMG) (fibrillation, positive waves, high-frequency discharges) was found in 21 (53%), suggesting extension of inflammation to the anterior horn and/or anterior motor roots. In the majority of patients these changes were not confined to the segment invaded by the rash but were widespread, extending several segments cranially and caudally, and both ipsi- and contralaterally. In 5 (13%) patients these changes became more extensive on repeat EMG over a period of months. There was no association between severity of rash, pain, postherpetic neuralgia, and EMG changes. We conclude that widespread subclinical motor involvement is relatively common in herpes zoster, may last for months, and is easily detectable by EMG.

journal_name

Muscle Nerve

journal_title

Muscle & nerve

authors

Haanpää M,Häkkinen V,Nurmikko T

doi

10.1002/(sici)1097-4598(199711)20:11<1433::aid-mus

subject

Has Abstract

pub_date

1997-11-01 00:00:00

pages

1433-8

issue

11

eissn

0148-639X

issn

1097-4598

pii

10.1002/(SICI)1097-4598(199711)20:11<1433::AID-MUS

journal_volume

20

pub_type

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