Clinical Pain

Korean Association of Pain Medicine (대한임상통증학회)
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Pain and Weakness on Unilateral Upper Extremity Diagnosed as Brachial Plexopathy after Herpes Zoster Infection

대상포진후 상완신경총병증으로 진단된 편측 상지의 통증과 위약

  • Cho, Junmo (Department of Physical Medicine & Rehabilitation, Chung-Ang University College of Medicine) ;
  • Kang, Si Hyun (Department of Physical Medicine & Rehabilitation, Chung-Ang University College of Medicine) ;
  • Seo, Kyung Mook (Department of Physical Medicine & Rehabilitation, Chung-Ang University College of Medicine) ;
  • Kim, Don-Kyu (Department of Physical Medicine & Rehabilitation, Chung-Ang University College of Medicine) ;
  • Kim, Du Hwan (Department of Physical Medicine & Rehabilitation, Chung-Ang University College of Medicine) ;
  • Shin, Hyun Iee (Department of Physical Medicine & Rehabilitation, Chung-Ang University College of Medicine)
  • 조준모 (중앙대학교병원 재활의학과) ;
  • 강시현 (중앙대학교병원 재활의학과) ;
  • 서경묵 (중앙대학교병원 재활의학과) ;
  • 김돈규 (중앙대학교병원 재활의학과) ;
  • 김두환 (중앙대학교병원 재활의학과) ;
  • 신현이 (중앙대학교병원 재활의학과)
  • Received : 2020.07.28
  • Accepted : 2020.08.14
  • Published : 2020.12.31
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Abstract

Motor paralysis is a less common neurologic complication of herpes zoster. Until now, a few cases have been reported, and most of these cases showed brachial plexopathy involving one or two segments. We report a patient with pain and weakness on upper extremity diagnosed as brachial plexopathy after herpes zoster infection. An 88-year-old female patient complained not only tingling sense, pain, and swelling on right whole arm, but also weakness on this right upper extremity. On physical examination, weakness is seen in right shoulder abduction·shoulder flexion·elbow flexion·elbow extension· wrist extension (grade 4), finger flexion·finger abduction·finger extension·finger DIP flexion (grade 3). In electrodiagnostic study and magnetic resonance imaging study, she was diagnosed as the brachial plexopathy, whole branch involved. This is the only case of post-herpetic brachial plexopathy involving whole branch in domestic.

Keywords

References

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