Acute Herpes Zoster Radiculopathy of the Lower Extremity With Dermatomal Rash and Lumbar Nerve Enhancement on MRI

Herpes zoster is a frequent cause of neuralgia and dermatomal vesicular rash secondary to reactivation of latent varicella zoster virus. However, it rarely presents with acute lumbar radiculopathy and the diagnosis can be quite challenging in such cases. Nerve signal abnormalities on magnetic resona...

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Detalles Bibliográficos
Autores principales: Bhushan, Samay, Dominguez, Lisette, Shirazi, Ehsan, Gupta, Vivek
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7557183/
https://www.ncbi.nlm.nih.gov/pubmed/33083710
http://dx.doi.org/10.1016/j.mayocpiqo.2020.06.001
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author Bhushan, Samay
Dominguez, Lisette
Shirazi, Ehsan
Gupta, Vivek
author_facet Bhushan, Samay
Dominguez, Lisette
Shirazi, Ehsan
Gupta, Vivek
author_sort Bhushan, Samay
collection PubMed
description Herpes zoster is a frequent cause of neuralgia and dermatomal vesicular rash secondary to reactivation of latent varicella zoster virus. However, it rarely presents with acute lumbar radiculopathy and the diagnosis can be quite challenging in such cases. Nerve signal abnormalities on magnetic resonance imaging are well recognized in herpes zoster neuropathy or plexopathy affecting the extremities, although gadolinium enhancement is characteristically absent. In this article, we describe a case of acute herpes zoster lumbosacral radiculopathy with characteristic vesicular dermatomal rash and second ever reported finding of gadolinium enhancement of the lumbar nerve on magnetic resonance imaging.
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spelling pubmed-75571832020-10-19 Acute Herpes Zoster Radiculopathy of the Lower Extremity With Dermatomal Rash and Lumbar Nerve Enhancement on MRI Bhushan, Samay Dominguez, Lisette Shirazi, Ehsan Gupta, Vivek Mayo Clin Proc Innov Qual Outcomes Case Report Herpes zoster is a frequent cause of neuralgia and dermatomal vesicular rash secondary to reactivation of latent varicella zoster virus. However, it rarely presents with acute lumbar radiculopathy and the diagnosis can be quite challenging in such cases. Nerve signal abnormalities on magnetic resonance imaging are well recognized in herpes zoster neuropathy or plexopathy affecting the extremities, although gadolinium enhancement is characteristically absent. In this article, we describe a case of acute herpes zoster lumbosacral radiculopathy with characteristic vesicular dermatomal rash and second ever reported finding of gadolinium enhancement of the lumbar nerve on magnetic resonance imaging. Elsevier 2020-08-19 /pmc/articles/PMC7557183/ /pubmed/33083710 http://dx.doi.org/10.1016/j.mayocpiqo.2020.06.001 Text en © 2020 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Bhushan, Samay
Dominguez, Lisette
Shirazi, Ehsan
Gupta, Vivek
Acute Herpes Zoster Radiculopathy of the Lower Extremity With Dermatomal Rash and Lumbar Nerve Enhancement on MRI
title Acute Herpes Zoster Radiculopathy of the Lower Extremity With Dermatomal Rash and Lumbar Nerve Enhancement on MRI
title_full Acute Herpes Zoster Radiculopathy of the Lower Extremity With Dermatomal Rash and Lumbar Nerve Enhancement on MRI
title_fullStr Acute Herpes Zoster Radiculopathy of the Lower Extremity With Dermatomal Rash and Lumbar Nerve Enhancement on MRI
title_full_unstemmed Acute Herpes Zoster Radiculopathy of the Lower Extremity With Dermatomal Rash and Lumbar Nerve Enhancement on MRI
title_short Acute Herpes Zoster Radiculopathy of the Lower Extremity With Dermatomal Rash and Lumbar Nerve Enhancement on MRI
title_sort acute herpes zoster radiculopathy of the lower extremity with dermatomal rash and lumbar nerve enhancement on mri
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7557183/
https://www.ncbi.nlm.nih.gov/pubmed/33083710
http://dx.doi.org/10.1016/j.mayocpiqo.2020.06.001
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