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Clin Shoulder Elbow > Volume 7(2); 2004 > Article
Journal of the Korean Shoulder and Elbow Society 2004;7(2):94-97.
DOI: https://doi.org/10.5397/CiSE.2004.7.2.094    Published online December 30, 2004.
Delayed-onset Muscular Paralysis after Cutaneous Herpes Zoster Mimicking Rotator Cuff Tear -Case Report-
Joo Han Oh, M.D., Hyun Sik Gong, M.D., Hyun Ho Kim, M.D.
Department of Orthopedic Surgery, Seoul National University College of Medicine
회전근개 파열과 유사한 양상을 보인 피부 대상 포진의 지연성 근육 마비 - 증례 보고 -
오주한, 공현식, 김형호
서울대학교 의과대학 정형외과학교실
Abstract
Herpes zoster presents clinically with cutaneous vesicular eruption and pain along the dermatome, but it can sometimes cause muscular paralysis. When the disease involves cervical root, it is included in the differential diagnosis of shoulder diseases. A sixty-six year old patient, complaining of severe pain and weakness of his left shoulder, was referred to the authors as having a partial tear of the supraspinatus tendon on MRI. However, the authors found out a paralysis of the sixth cervical root in the patient by electrophysiologic studies, noting that the patient had been affected with a herpes eruption in the neck and arm two months before. Zoster paresis has been reported to be associated with the cutaneous eruption within two weeks of its onset, making its diagnosis not so difficult. The authors report a case of delayed-onset muscular paralysis after cutaneous herpes zoster, which presented just like a rotator cuff tear.
Key Words: Rotator cuff tear, Herpes zoster, Delayed-onset muscular paralysis


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