Department of Neurology, Nara Medical University, Japan.
Department of Rehabilitation Medicine, Nara Medical University, Japan.
Intern Med. 2023 Mar 15;62(6):903-907. doi: 10.2169/internalmedicine.0039-22. Epub 2022 Aug 20.
We herein report a case of herpes zoster complicated by right-arm paralysis, wherein cervical nerve root ultrasonography enabled the early diagnosis and a therapeutic efficacy evaluation. A 71-year-old man developed progressive weakness in the muscles innervated by the right C5-6 nerve root following the appearance of a painful rash. Cervical nerve root ultrasonography revealed C5-6 nerve root inflammatory swelling. Methylprednisolone pulse therapy and subsequent oral prednisolone therapy gradually improved the muscle weakness. At three weeks following admission, ultrasonography revealed C5-6 nerve root inflammatory swelling improvement. Ultrasonography may aid in the early detection of nerve root inflammatory swelling and help monitor treatment efficacy.
我们在此报告一例带状疱疹并发右臂瘫痪病例，颈椎神经根超声检查可实现早期诊断和疗效评估。一名 71 岁男性在出现疼痛性皮疹后，支配右侧 C5-6 神经根的肌肉逐渐出现无力。颈椎神经根超声检查显示 C5-6 神经根炎性肿胀。甲泼尼龙脉冲治疗和随后的口服泼尼松龙治疗逐渐改善了肌肉无力。入院后 3 周，超声检查显示 C5-6 神经根炎性肿胀改善。超声检查可能有助于早期发现神经根炎性肿胀并帮助监测治疗效果。
