Rice J P
Clin Exp Neurol. 1984;20:129-40.
Herpes zoster infection may be complicated by motor involvement, the most common example of this being facial palsy in the Ramsay Hunt syndrome. Segmental lower motor neurone weakness is an uncommon disorder which does occur in the limbs, such paralysis usually occurring in the same segments as the dermatomes involved, or in those immediately contiguous. Nine cases of limb weakness are described, the weakness often being severe and accompanied by wasting and segmental reflex impairment. Long tract signs were absent. The cervical region was affected more commonly than the lumbosacral area. The prognosis for recovery was usually good. The condition reflects anterior horn cell or anterior nerve root involvement by the herpes zoster virus at the same or adjacent segmental levels as the sensory lesion.
带状疱疹感染可能并发运动功能受累，其中最常见的例子是拉姆齐·亨特综合征中的面神经麻痹。节段性下运动神经元无力是一种罕见的疾病，确实会发生在四肢，这种瘫痪通常发生在与受累皮节相同或紧邻的节段。本文描述了9例肢体无力的病例，无力症状通常较为严重，并伴有肌肉萎缩和节段性反射障碍。未出现长束征。颈部受累比腰骶部更常见。恢复预后通常良好。这种情况反映了带状疱疹病毒在与感觉病变相同或相邻节段水平累及前角细胞或前神经根。
