Oliveira Pedro Dantas, dos Santos Filho Paulo Vicente, de Menezes Ettinger João Eduardo Marques Tavares, Oliveira Isabel Cristina Dantas
Department of Surgery, Escola Bahiana de Medicina e Saúde Pública, Salvador, Bahia, Brazil.
Hernia. 2006 Aug;10(4):364-6; discussion 293. doi: 10.1007/s10029-006-0102-6. Epub 2006 Jun 13.
Herpes zoster affects 10-20% of the general population. Motor complications sometimes occur in the segments corresponding to the involved sensory dermatomes causing abdominal wall pseudohernias. We present a case of a 57-year-old woman with herpes zoster characteristical rash following T11-T12 right dermatomes. Ten days after dermatologic manifestations onset, she had developed a protrusion at the abdominal wall on the right flank. The electroneuromyography confirmed axonal motor commitment, and morphological defects were ruled out by ultrasonography. The bulge totally disappeared after 4 months of observation. Postherpetic pseudohernia must be suspected when a patient develops signs and symptoms of motor dysfunction that coincide with or follow a herpes zoster eruption resulting in abdominal-wall herniation. A review of the literature concerning these extremely exceptional sequelae of herpes zoster is presented.
带状疱疹影响10%-20%的普通人群。运动并发症有时会出现在与受累感觉皮节相对应的节段，导致腹壁假性疝。我们报告一例57岁女性，其T11-T12右侧皮节出现带状疱疹特征性皮疹。皮肤病表现出现10天后，她右侧腹部出现了一个突出物。肌电图证实存在轴索性运动损伤，超声检查排除了形态学缺陷。经过4个月的观察，肿块完全消失。当患者出现与带状疱疹发作同时或之后出现的运动功能障碍体征和症状并导致腹壁疝时，必须怀疑为疱疹后假性疝。本文对有关带状疱疹这些极其罕见后遗症的文献进行了综述。
