Koppel B S, Daras M
Department of Neurology, New York Medical College, Valhalla.
Eur Neurol. 1992;32(5):264-6. doi: 10.1159/000116838.
Segmental myoclonus arising in the spinal cord occurs with several viral infections, including herpes zoster radiculitis. Usually, abnormal movements follow the rash and require drug treatment to suppress. We report a patient with AIDS in whom arm and shoulder myoclonus preceded herpes zoster involving the same segments contralaterally on two occasions. Myoclonus remitted promptly with antiviral treatment. Unlike in other immunosuppressed patients, encephalitis did not occur after the second episode.
脊髓节段性肌阵挛可发生于多种病毒感染，包括带状疱疹性神经根炎。通常，异常运动在皮疹出现后发生，需要药物治疗来抑制。我们报告一名艾滋病患者，其手臂和肩部肌阵挛在两次发作中均先于对侧相同节段的带状疱疹出现。抗病毒治疗后肌阵挛迅速缓解。与其他免疫抑制患者不同，第二次发作后未发生脑炎。
