Braverman D L, Ku A, Nagler W
Department of Rehabilitation Medicine, The New York Hospital-Cornell Medical Center, New York, USA.
Arch Phys Med Rehabil. 1997 Aug;78(8):880-2. doi: 10.1016/s0003-9993(97)90204-5.
Herpes zoster infection, resulting from reactivation of the dormant varicella zoster virus in the dorsal root ganglia, usually causes a painful dermatomal vesicular rash. Rarely, associated peripheral motor weakness is present, the mechanism of which is unclear. Three patients are reported who had focal limb muscle weakness associated with zoster infection. Physical and occupational therapy played a key role in motor function recovery of the patients, yet emphasis on the rehabilitation of postherpetic motor weakness is lacking in the literature. Physiatrists evaluating patients with limb muscle weakness following herpes zoster infection should be alert to this condition. The clinical syndrome of herpes zoster radiculopathy and the rehabilitation of these patients are discussed.
带状疱疹感染是由背根神经节中潜伏的水痘-带状疱疹病毒重新激活引起的，通常会导致疼痛性的皮节水疱疹。很少有患者会出现相关的周围运动性无力，其机制尚不清楚。本文报告了3例伴有带状疱疹感染的局灶性肢体肌肉无力患者。物理治疗和职业治疗在患者的运动功能恢复中发挥了关键作用，但文献中缺乏对带状疱疹后运动性无力康复的重视。评估带状疱疹感染后肢体肌肉无力患者的物理治疗师应警惕这种情况。本文讨论了带状疱疹神经根病的临床综合征及这些患者的康复治疗。
