**5. Conclusion**

Segmental zoster paresis is a rare complication of VZV infection. Increasing rate of herpes zoster infection and its segmental paresis is confirmed by the mean age of presented patients‑it is above 65 years.

Recognizing segmental zoster paresis is important in the differential diagnosis of muscle weakness of other origin—it is of particular importance to perform electromyoneurography of paretic muscle.

Physical therapy is the most common therapy for these patients, although a lot of patients did not conducted any specific way of treatment.

Prognosis for these patients is generally good, and there is full recovery in most cases, except VZV infection of phrenic nerve and diaphragmatic paresis, where there is no significant recovery of muscle weakness in significant number of patients.

**Abominal**

**74**

**Demographics,**

 **medical**

**Subjective complaints**

**Neurological**

**EMG findings**

 **Other tests** Ultrasonography

Oral acyclovir,

Disappeared

 after

mecobalamin,

2 months

excluded the abdominal wall

and vitamin B1

defect

MRI-hyperintensity

 **Treatment**

**Course/outcome**

**impairments**

abdominal wall with no

pain

**wall**

[84]

[85]

 4 patients

Involvement

rami of spinal nerves in

abdominal wall

pseudohernia

[86]

**Table 5.**

*Lists of studies that reviewed herpes zoster infection and motor paresis of abdominal*

 57-year-old

 man

Rash and dull squeezing

Bulge on his left flank

2 weeks after cutaneous

changes

 *wall.*

*Human Herpesvirus Infection - Biological Features,Transmission, Symptoms, Diagnosis …*

pain

 of posterior

In 3 patients, EMG of

paraspinal muscles

of these muscles on

short T1 inversion

recovery imaging

showed denervation

potentials

 58-year old man

Rash in area 9th to 11th Protrusion in the right

**history**

*Human Herpesvirus Infection - Biological Features,Transmission, Symptoms, Diagnosis …*

**References**

2271-2284

1341-1349

631-632

**77**

1953;**2**(24):890-891

*Extracranial Herpetic Paresis*

[1] Peterson BH. Motor effects of herpes zoster. The Medical Journal of Australia.

*DOI: http://dx.doi.org/10.5772/intechopen.90493*

[10] Liu Y, Wu BY, Ma ZS, Xu JJ, Yang B, Li H, et al. A retrospective case series of segmental zoster paresis of limbs: Clinical, electrophysiological and

imaging characteristics. BMC Neurology. 2018;**18**(1):121

[11] Akiyama N. Herpes zoster infection complicated by motor paralysis. Journal of Dermatology. 2000;**27**(4):252-257

[12] Cioni R, Giannini F, Passero S, et al. An electromyographic evaluation of motor complications in thoracic herpes zoster. Electromyography and Clinical Neurophysiology. 1994;**34**:125-128

[13] Bhattacharyya PK, Chakravorty NK. Lower motor neurone paralysis due to herpes zoster. The British Journal of Clinical Practice. 1988;**42**:79-82

[14] Woodland L. Herpes zoster with associated muscle paralysis. The Medical Journal of Australia. 1947;**1**(9):284

[15] Goodman CE, Kenrick MM. Herpes zoster with motor paresis. Southern Medical Journal. 1974;**67**(10):1171-1174

[16] Nord E, Weinberg A, Banjamin D, Phikhas J. Motor paralysis complicating herpes zoster. Dermatologica. 1977;

[17] Eban R. Cervical herpes zoster and shoulder pain. British Medical Journal.

[19] Yawn BP. Post-shingles neuralgia by any definition is painful, but is it PHN? Mayo Clinic Proceedings. 2011;**86**(12):

[20] Yu YH, Lin Y, Sun PJ. Segmental zoster abdominal paresis mimicking an

[18] Verma AK, Maheshwari MC. Brachial monoparesis following herpes zoster. Acta Neurologica (Napoli). 1985;

**154**(5):301-304

1978;**1**:177

**7**(1):32-34

1141-1142

[3] Oxman MN, Levin MJ, Johnson GR, et al. A vaccine to prevent herpes zoster

[4] Yawn BP, Saddier P, Wollan PC, St. Sauver JL, Kurland MJ, Sy LS. A

population-based study of the incidence and complication rates of herpes zoster before zoster vaccine introduction. Mayo Clinic Proceedings. 2007;**82**:

[5] Nee PA, Lunn PG. Isolated anterior interosseus nerve palsy following herpes zoster infection: A case report and review of the literature. Journal of Hand

Kawamura J, et al. Magnetic resonance imaging in a patient with segmental zoster paresis. Neurology. 1997;**49**:

[8] Fabian VA, Wood B, Crowley P, Kakulas BA. Herpes zoster brachial

Neuropathology. 1997;**16**(2):61-64

[9] Broadbent WH. Case of herpetic eruption in the course of branches of the brachial plexus followed by paralyisis in corresponding motor nerves. British

Medical Journal. 1866;**2**:460

Surgery. 1989;**14B**:447-448

[7] Umehara T, Sengoku R, Mitsumura H, et al. Findings of segmental zoster paresis on MRI. Journal of Neurology, Neurosurgery, and Psychiatry. 2011;**82**(6):694

plexus neuritis. Clinical

[6] Hanakawa T, Hashimoto S,

[2] Rhodes AJ, Van Rooyen CE. Textbook of Virology. Baltimore: William and Wilkins; 1962

and postherpetic neuralgia in older adults. The New England Journal of Medicine. 2005;**352**(22):
