Abourazzak F, Couchouron T, Meadeb J, Perdriger A, Tattevin P, Moutel A, Le Goff B, Hajjaj-Hassouni N, Chalès G
Service de rhumatologie, CHU de Rabat-Salé, hôpital El-Ayachi, Maroc.
Rev Med Interne. 2008 Nov;29(11):932-5. doi: 10.1016/j.revmed.2008.01.020. Epub 2008 Apr 10.
Herpes zoster is a disease which occurs secondary to the reactivation of varicella-zoster virus. Motor involvement in acute herpes zoster is rare. We report a case of sciatica L5 due to herpes zoster infection with motor loss. Typical skin lesions occurred one week before the sciatica. Radiological finding did not explain the paresis. The diagnosis of zoster sciatica with motor involvement was suspected. Serological tests and cerebrospinal fluid examination established the diagnosis. The antiviral and physical treatment was conducted in order to improve functional outcome.
带状疱疹是一种由水痘-带状疱疹病毒再激活继发引起的疾病。急性带状疱疹累及运动功能的情况较为罕见。我们报告一例因带状疱疹感染导致L5神经根型坐骨神经痛并伴有运动功能丧失的病例。典型的皮肤损害在坐骨神经痛出现前一周出现。影像学检查结果无法解释其运动功能障碍。怀疑为累及运动功能的带状疱疹性坐骨神经痛。血清学检查和脑脊液检查确诊了该病。采取了抗病毒治疗和物理治疗以改善功能预后。
