Cervical Root Enlargement in Segmental Zoster Paresis: A Study with Magnetic Resonance Imaging and Nerve Ultrasound
A 72-year-old woman presented with acute-progressive muscle weakness after a rash in the left upper limb. Muscle weakness was restricted to the left C5 innervated muscles. Short inversion time inversion recovery magnetic resonance imaging (MRI) showed a high-intensity signal in the left C5 nerve roo...
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| Veröffentlicht in: | Internal Medicine 2022/08/01, Vol.61(15), pp.2361-2365 |
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| container_title | Internal Medicine |
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| creator | Wada, Shinichi Hirano, Hirohisa Uehara, Naoko Kurotobi, Yuri Tsuzaki, Koji Takamatsu, Naoko Fujita, Masaaki Hamano, Toshiaki |
| description | A 72-year-old woman presented with acute-progressive muscle weakness after a rash in the left upper limb. Muscle weakness was restricted to the left C5 innervated muscles. Short inversion time inversion recovery magnetic resonance imaging (MRI) showed a high-intensity signal in the left C5 nerve root, and nerve ultrasound showed its enlargement. She was diagnosed with segmental zoster paralysis (SZP) and treated with acyclovir and methylprednisolone. Her muscle strength gradually recovered, and the abnormal signal and enlargement in the left C5 nerve root improved. This is the first SZP case of confirmed improvement of abnormal findings on MRI and nerve ultrasound in association with muscle power recovery. |
| doi_str_mv | 10.2169/internalmedicine.8538-21 |
| format | Article |
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Muscle weakness was restricted to the left C5 innervated muscles. Short inversion time inversion recovery magnetic resonance imaging (MRI) showed a high-intensity signal in the left C5 nerve root, and nerve ultrasound showed its enlargement. She was diagnosed with segmental zoster paralysis (SZP) and treated with acyclovir and methylprednisolone. Her muscle strength gradually recovered, and the abnormal signal and enlargement in the left C5 nerve root improved. This is the first SZP case of confirmed improvement of abnormal findings on MRI and nerve ultrasound in association with muscle power recovery.</description><identifier>ISSN: 0918-2918</identifier><identifier>EISSN: 1349-7235</identifier><identifier>DOI: 10.2169/internalmedicine.8538-21</identifier><identifier>PMID: 35022345</identifier><language>eng</language><publisher>Japan: The Japanese Society of Internal Medicine</publisher><subject>Acyclovir ; Case Report ; cervical nerve root ; Enlargement ; follow-up ; Internal medicine ; Magnetic resonance imaging ; Methylprednisolone ; MRI ; Muscle strength ; Muscles ; nerve ultrasound ; Paralysis ; Paresis ; segmental zoster paresis ; Sjögren syndrome ; Ultrasound</subject><ispartof>Internal Medicine, 2022/08/01, Vol.61(15), pp.2361-2365</ispartof><rights>2022 by The Japanese Society of Internal Medicine</rights><rights>Copyright Japan Science and Technology Agency 2022</rights><rights>Copyright © 2022 by The Japanese Society of Internal Medicine</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c610t-92a188a5d0389549664be523917a9d51e12e28979f72e400a5b4b079d67ae35f3</citedby><cites>FETCH-LOGICAL-c610t-92a188a5d0389549664be523917a9d51e12e28979f72e400a5b4b079d67ae35f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9424074/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9424074/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,1877,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35022345$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wada, Shinichi</creatorcontrib><creatorcontrib>Hirano, Hirohisa</creatorcontrib><creatorcontrib>Uehara, Naoko</creatorcontrib><creatorcontrib>Kurotobi, Yuri</creatorcontrib><creatorcontrib>Tsuzaki, Koji</creatorcontrib><creatorcontrib>Takamatsu, Naoko</creatorcontrib><creatorcontrib>Fujita, Masaaki</creatorcontrib><creatorcontrib>Hamano, Toshiaki</creatorcontrib><title>Cervical Root Enlargement in Segmental Zoster Paresis: A Study with Magnetic Resonance Imaging and Nerve Ultrasound</title><title>Internal Medicine</title><addtitle>Intern. Med.</addtitle><description>A 72-year-old woman presented with acute-progressive muscle weakness after a rash in the left upper limb. Muscle weakness was restricted to the left C5 innervated muscles. Short inversion time inversion recovery magnetic resonance imaging (MRI) showed a high-intensity signal in the left C5 nerve root, and nerve ultrasound showed its enlargement. She was diagnosed with segmental zoster paralysis (SZP) and treated with acyclovir and methylprednisolone. Her muscle strength gradually recovered, and the abnormal signal and enlargement in the left C5 nerve root improved. This is the first SZP case of confirmed improvement of abnormal findings on MRI and nerve ultrasound in association with muscle power recovery.</description><subject>Acyclovir</subject><subject>Case Report</subject><subject>cervical nerve root</subject><subject>Enlargement</subject><subject>follow-up</subject><subject>Internal medicine</subject><subject>Magnetic resonance imaging</subject><subject>Methylprednisolone</subject><subject>MRI</subject><subject>Muscle strength</subject><subject>Muscles</subject><subject>nerve ultrasound</subject><subject>Paralysis</subject><subject>Paresis</subject><subject>segmental zoster paresis</subject><subject>Sjögren syndrome</subject><subject>Ultrasound</subject><issn>0918-2918</issn><issn>1349-7235</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><recordid>eNplkcFu1DAQhiMEotvCKyBLXLik2I4dxxyQqlWBSoWill64WLPJbNarxC62U9S3r6NdVlAuY8vzzT8z_ouCMHrKWa3fW5cwOBhG7GxrHZ42smpKzp4VC1YJXSpeyefFgmqWX3M4Ko5j3FJaNUrzl8VRJSnnlZCLIi4x3NsWBnLtfSLnboDQ44guEevIDfbzNWd_-phbku8QMNr4gZyRmzR1D-S3TRvyFXqHybbkGqN34FokFyP01vUEXEe-5RZIbocUIPrJda-KF2sYIr7enyfF7afzH8sv5eXV54vl2WXZ1oymUnNgTQOyy2NrKXRdixVKXmmmQHeSIePIG630WnEUlIJciRVVuqsVYCXX1Unxcad7N63yT7V5kwCDuQt2hPBgPFjzb8bZjen9vdGCC6pEFni3Fwj-14QxmdHGFocBHPopGl6zPBgVXGb07RN066fZopnSiqnsi8pUs6Pa4GMMuD4Mw6iZnTVPnTWzszmVS9_8vcyh8I-VGbjaAduYoMcDACE7M-D_yjUzTM5x3-JAthsIBl31CNHhwpw</recordid><startdate>20220801</startdate><enddate>20220801</enddate><creator>Wada, Shinichi</creator><creator>Hirano, Hirohisa</creator><creator>Uehara, Naoko</creator><creator>Kurotobi, Yuri</creator><creator>Tsuzaki, Koji</creator><creator>Takamatsu, Naoko</creator><creator>Fujita, Masaaki</creator><creator>Hamano, Toshiaki</creator><general>The Japanese Society of Internal Medicine</general><general>Japan Science and Technology Agency</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7TK</scope><scope>7U9</scope><scope>H94</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20220801</creationdate><title>Cervical Root Enlargement in Segmental Zoster Paresis: A Study with Magnetic Resonance Imaging and Nerve Ultrasound</title><author>Wada, Shinichi ; Hirano, Hirohisa ; Uehara, Naoko ; Kurotobi, Yuri ; Tsuzaki, Koji ; Takamatsu, Naoko ; Fujita, Masaaki ; Hamano, Toshiaki</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c610t-92a188a5d0389549664be523917a9d51e12e28979f72e400a5b4b079d67ae35f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Acyclovir</topic><topic>Case Report</topic><topic>cervical nerve root</topic><topic>Enlargement</topic><topic>follow-up</topic><topic>Internal medicine</topic><topic>Magnetic resonance imaging</topic><topic>Methylprednisolone</topic><topic>MRI</topic><topic>Muscle strength</topic><topic>Muscles</topic><topic>nerve ultrasound</topic><topic>Paralysis</topic><topic>Paresis</topic><topic>segmental zoster paresis</topic><topic>Sjögren syndrome</topic><topic>Ultrasound</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wada, Shinichi</creatorcontrib><creatorcontrib>Hirano, Hirohisa</creatorcontrib><creatorcontrib>Uehara, Naoko</creatorcontrib><creatorcontrib>Kurotobi, Yuri</creatorcontrib><creatorcontrib>Tsuzaki, Koji</creatorcontrib><creatorcontrib>Takamatsu, Naoko</creatorcontrib><creatorcontrib>Fujita, Masaaki</creatorcontrib><creatorcontrib>Hamano, Toshiaki</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Internal Medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wada, Shinichi</au><au>Hirano, Hirohisa</au><au>Uehara, Naoko</au><au>Kurotobi, Yuri</au><au>Tsuzaki, Koji</au><au>Takamatsu, Naoko</au><au>Fujita, Masaaki</au><au>Hamano, Toshiaki</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cervical Root Enlargement in Segmental Zoster Paresis: A Study with Magnetic Resonance Imaging and Nerve Ultrasound</atitle><jtitle>Internal Medicine</jtitle><addtitle>Intern. Med.</addtitle><date>2022-08-01</date><risdate>2022</risdate><volume>61</volume><issue>15</issue><spage>2361</spage><epage>2365</epage><pages>2361-2365</pages><artnum>8538-21</artnum><issn>0918-2918</issn><eissn>1349-7235</eissn><abstract>A 72-year-old woman presented with acute-progressive muscle weakness after a rash in the left upper limb. Muscle weakness was restricted to the left C5 innervated muscles. Short inversion time inversion recovery magnetic resonance imaging (MRI) showed a high-intensity signal in the left C5 nerve root, and nerve ultrasound showed its enlargement. She was diagnosed with segmental zoster paralysis (SZP) and treated with acyclovir and methylprednisolone. Her muscle strength gradually recovered, and the abnormal signal and enlargement in the left C5 nerve root improved. This is the first SZP case of confirmed improvement of abnormal findings on MRI and nerve ultrasound in association with muscle power recovery.</abstract><cop>Japan</cop><pub>The Japanese Society of Internal Medicine</pub><pmid>35022345</pmid><doi>10.2169/internalmedicine.8538-21</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| source | J-STAGE (Japan Science & Technology Information Aggregator, Electronic) Freely Available Titles - Japanese; PubMed Central; PubMed Central Open Access |
| subjects | Acyclovir Case Report cervical nerve root Enlargement follow-up Internal medicine Magnetic resonance imaging Methylprednisolone MRI Muscle strength Muscles nerve ultrasound Paralysis Paresis segmental zoster paresis Sjögren syndrome Ultrasound |
| title | Cervical Root Enlargement in Segmental Zoster Paresis: A Study with Magnetic Resonance Imaging and Nerve Ultrasound |
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