Herpes zoster affects essentially sensory fibres with segmental distribution. Abdominal wall paresis is a rare complication.
Aims of the study
We present the case of a 72 year-old man with herpes zoster infection in T11–T12 left dermatomes and segmental abdominal wall protrusion.
Electromyography (EMG) and dermatomal somatosensory evoked potentials (DSEPs) were performed 27 days after symptoms onset.
EMG confirmed acute axonal lesion in left external oblique muscle and left paraspinal muscles at T11–T12 level and DSEPs assessed topographic distribution: there was no response in the left side at T12 dermatome. Three months following the onset of shingles, the abdominal wall protrusion had completely resolved.
Neurophysiological examination, including EMG and DSEPs, confirms motor and sensory loss in this unusual post-herpetic complication.
To read this article in full you will need to make a payment
Purchase one-time access:Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
One-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:Subscribe to Journal of the Neurological Sciences
Already a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
- Herpes zoster of the head and limbs: electroneuromyographic and clinical findings in 158 consecutive cases.Arch Phys Med Rehabil. 2002; 83: 1215-1221
- Herpesvirus infections of the nervous system.Nature Neurology Clin Pract. 2007; 3: 82-94
- Abdominal muscle paralysis from herpes zoster.J Neurosurg Neurol Psychiatry. 1988; 51: 885-886
- An electromyographic evaluation of motor complications in thoracic herpes zoster.Electromyogr Clin Neurophysiol. 1994; 34: 125-128
- Self-limiting constipation and abdominal wall herniation following herpes zoster infection.Q J Med. 1998; 91: 788-789
- Constipation and abdominal segmental paresis followed by herpes zoster.Intern Med. 2007; 46: 1487-1488
- Abdominal wall protrusion following herpes zoster.Society Rev Bras Med Trop. 2007; 40: 234-235
- Postherpetic self-limited abdominal wall herniation.Am J Surg. 2003; 186: 148
- Postherpetic paresis mimicking an abdominal herniation.Acta Derm Venereol. 2006; 86: 73-74
- Post-herpetic abdominal wall herniation.Postgrad Med J. 1988; 64: 832-833
- Acquired neurogenic abdominal wall weakness simulating abdominal hernia.IMAJ. 2002; 4: 262-264
- Dermatomal somatosensory evoked potentials: cervical, thoracic and lumbosacral levels.Electroencephalogr Clin Neurophysiol. 1992; 84: 55-70
- Herpes Zoster-induced trunk muscle paresis presenting with abdominal wall pseudohernia, scoliosis, and gait disturbance and its rehabilitation: a case report.Arch Phys Med Rehabil. 2010; 91: 321-325
Published online: September 12, 2011
Accepted: August 24, 2011
Received in revised form: August 24, 2011
Received: May 26, 2011
© 2011 Elsevier B.V. Published by Elsevier Inc. All rights reserved.