Motor radiculopathy caused by varicella zoster virus without skin lesions (‘zoster sine herpete’)

Three weeks after onset of her symptoms needle electromyography (EMG) showed fibrillation potentials and positive waves in the tibialis anterior and posterior muscles, and the extensor hallucis longus muscle of the right leg, confirming the earlier, clinical diagnosis of the L5 radiculopathy. The wo...

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Bibliographic Details
Published in:Clinical neurology and neurosurgery 2010-12, Vol.112 (10), p.933-933
Main Authors: ter Meulen, B.C, Rath, J.J.G
Format: Article
Language:English
Subjects:
Aged
Antineoplastic Agents - therapeutic use
Deoxyribonucleic acid
DNA
DNA, Viral - genetics
Electromyography
Female
Herpes sine herpete
Herpes viruses
Herpesvirus 3, Human - genetics
Humans
Leukemia, Lymphocytic, Chronic, B-Cell - complications
Leukemia, Lymphocytic, Chronic, B-Cell - drug therapy
Lumbar motor radiculopathy
Magnetic Resonance Imaging
Medical diagnosis
Muscle Weakness - etiology
Muscle Weakness - pathology
Nerve Block
Neurology
Neurosurgery
Radiculopathy - etiology
Radiculopathy - pathology
Reverse Transcriptase Polymerase Chain Reaction
Sciatica - etiology
Varicella zoster virus
Zoster Sine Herpete - complications
Zoster Sine Herpete - pathology
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Summary:Three weeks after onset of her symptoms needle electromyography (EMG) showed fibrillation potentials and positive waves in the tibialis anterior and posterior muscles, and the extensor hallucis longus muscle of the right leg, confirming the earlier, clinical diagnosis of the L5 radiculopathy. The work-up of a motor radiculopathy with normal MRI of the lumbosacral spine should include CSF analysis with PCR for VZV-DNA even in the absence of herpes zoster.
ISSN:0303-8467
1872-6968
DOI:10.1016/j.clineuro.2010.06.013