Saffet Meral ÇINAR, Semra BİLGE, Fazilet HIZ, Leman ERKUTLU

Motor tutulumla başlayan herpes zoster radikülopati olgusu

Herpes zoster, esas olarak posterior kök ganglionlarını ve duysal sinir liflerini tutar, deride veziküler döküntüler, radiküler ağrı, etkilenen ganglionun dağılımında duysal bozukluklara yol açar. Bununla beraber motor tutulum da gözlenir. Klasik kütanöz lezyonlar olduğunda herpes zostere bağlı motor parezi kolaylıkla tanımlanır. Fakat, güçsüzlüğün deri lezyonları ve duysal yakınmalardan önce olduğu durumlarda tanı zorlaşır. Bu yazıda, herpes zostere bağlı servikal segment radikülopatide motor güçsüzlüğün majör klinik semptom ve bulgu aldığı olgu sunuldu.

Herpes radiculopathy case presenting first with motor involvement

Herpes zoster primarily affects the posterior root ganglions and sensorial nerve fibers, and causes vesicular skin eruptions, radicular pain and loss of sensorial function along the distribution of the affected ganglion. Motor involvement can also be observed. When classical cutaneous lesions are present, the motor paresis consequent to herpes zoster is easily diagnosed. However, diagnosis becomes complicated when the motor weakness is the earlier sign and precedes the cutaneous lesions and sensory symptoms. We present a case in whom the major clinical symptom and sign was the motor weakness in cervical radiculopathy consequent to herpes zoster.

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