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Joint Bone Spine
Volume 71, n° 6
pages 588-591 (novembre 2004)
Doi : 10.1016/j.jbspin.2003.12.002
Received : 1 September 2003 ;  accepted : 22 December 2003
Herpes zoster sciatica with paresis preceding the skin lesions. Three case-reports
 

Daniel Wendling a, , Sandrine Langlois a, Anne Lohse a, Eric Toussirot a, Fabrice Michel b
a Rheumatology Department, Jean Minjoz Teaching Hospital, Boulevard Fleming, 25030 Besançon cedex, France 
b Neuromuscular Function Testing Unit, Jean Minjoz Teaching Hospital, Boulevard Fleming, 25030 Besançon cedex, France 

*Corresponding author.
Abstract

We report three cases of herpes zoster sciatica with motor loss preceding the typical skin lesions. Serological tests and cerebrospinal fluid examination established the diagnosis. Two patients had residual motor loss after 1 and 3 months, respectively. Immunodepression and other risk factors should be looked for routinely. Early diagnosis and treatment may improve the prognosis. Tests for antibodies or viral DNA in cerebrospinal fluid can be helpful, although negative results do not rule out the diagnosis.

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Keywords : Sciatica, Herpes zoster, Paresis




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