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Herpes and sciatica

George Panos, Dionysios C Watson, Ioannis Karydis, Dimitrios Velissaris, Marina Andreou, Vasilis Karamouzos, Maria Sargianou, Antonios Masdrakis, Paraskevi Chra, Lavrentios Roussos
BACKGROUND: Acute cauda equina syndrome is an uncommon but significant neurologic presentation due to a variety of underlying diseases. Anatomical compression of nerve roots, usually by a lumbar disk hernia is a common cause in the general population, while inflammatory, neoplastic, and ischemic causes have also been recognized. Among human immunodeficiency virus (HIV) infected patients with acquired immunodeficiency syndrome, infectious causes are encountered more frequently, the most prevalent of which are: cytomegalovirus, herpes simplex virus 1/2, varicella zoster virus, and Mycobacterium tuberculosis infections...
2016: Journal of Medical Case Reports
Masao Koda, Chikato Mannoji, Makiko Oikawa, Masazumi Murakami, Yuzuru Okamoto, Tamiyo Kon, Akihiko Okawa, Osamu Ikeda, Masashi Yamazaki, Takeo Furuya
BACKGROUND: Symptom of herpes zoster is sometimes difficult to distinguish from sciatica induced by spinal diseases, including lumbar disc herniation and spinal canal stenosis. Here we report a case of sciatica mimicking lumbar canal stenosis. CASE PRESENTATION: A 74-year-old Chinese male patient visited our hospital for left-sided sciatic pain upon standing or walking for 5 min of approximately 1 month's duration. At the first visit to our hospital, there were no skin lesions...
2015: BMC Research Notes
Walter B Sprenger De Rover, Sulaiman Alazzawi, Peter J Hallam, Rachael Hutchinson, Livio Di Mascio
The herpes zoster virus is a rare but potential cause of acute motor weakness. This article describes 2 patients with drop foot secondary to an infection of varicella zoster who were incorrectly referred to an orthopedic clinic from their general practitioners. The first patient was a 74-year-old man who presented with weakness in the right foot and a vesicular rash. The pattern of disease supported the clinical diagnosis of shingles affecting the L5 motor and sensory division. No investigation was required, and the patient was treated with a foot drop splint...
December 2011: Orthopedics
Alexander V Murray, Keith S Reisinger, Boris Kerzner, Jon E Stek, Timothy A Sausser, Jin Xu, William W Wang, Ivan S F Chan, Paula W Annunziato, Janie Parrino
OBJECTIVE: To evaluate the general safety of zoster vaccine (ZV) in adults ≥60 years old. PATIENTS/METHODS: Subjects were enrolled in a 1:1 ratio to receive 1 dose of ZV or placebo. Subjects were followed for serious adverse experiences (SAEs) for 42 days (primary follow-up period) and 182 days (secondary follow-up period) postvaccination. Relative-risks (ZV/placebo) for SAEs during both safety periods were calculated. STUDY PERIOD: 17-Sep‑2007 to 09-Jan-2009...
November 2011: Human Vaccines
Duygu Geler Kulcu, Sait Naderi
The aim of this study is to present a series of 11 patients with non-discogenic sciatica (NDS), and to review the diagnostic techniques of careful clinical and radiological examination. The cases include lumbar radicular herpes zoster, lumbar nerve root schwannoma, lumbar instability, facet hypertrophy, ankylosing spondylitis, sacroiliitis, sciatic neuritis, piriformis syndrome, intrapelvic mass and coxarthrosis. The pain pattern and accompanying symptoms were the major factors suggesting a non-discogenic etiology...
November 2008: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
F Abourazzak, T Couchouron, J Meadeb, A Perdriger, P Tattevin, A Moutel, B Le Goff, N Hajjaj-Hassouni, G Chalès
Herpes zoster is a disease which occurs secondary to the reactivation of varicella-zoster virus. Motor involvement in acute herpes zoster is rare. We report a case of sciatica L5 due to herpes zoster infection with motor loss. Typical skin lesions occurred one week before the sciatica. Radiological finding did not explain the paresis. The diagnosis of zoster sciatica with motor involvement was suspected. Serological tests and cerebrospinal fluid examination established the diagnosis. The antiviral and physical treatment was conducted in order to improve functional outcome...
November 2008: La Revue de Médecine Interne
Daniel Wendling, Sandrine Langlois, Anne Lohse, Eric Toussirot, Fabrice Michel
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.
November 2004: Joint, Bone, Spine: Revue du Rhumatisme
No abstract text is available yet for this article.
July 28, 1950: Medizinische Klinik
A Pieroni
An ethnopharmacobotanical survey of the medicinal plants and food medicines of the northern part of Lucca Province, north-west Tuscany, central Italy, was carried out. The geographical isolation of this area has permitted the survival of a rich folk phytotherapy involving medicinal herbs and also vegetable resources used by locals as food medicine. Among these are the uncommon use of Ballota nigra leaves as a trophic protective; the use of Lilium candidum bulbs as an antiviral to treat shingles (Herpes zoster); Parmelia sp...
June 2000: Journal of Ethnopharmacology
A F Nikkels, G E Piérard
Herpes simplex virus (HSV) type 1 (HSV-1) infection of the tongue commonly accompanies acute primary herpetic gingivostomatitis. However, recurrent infection of the tongue is exceptional and is restricted to immunocompromised individuals. A 57-year-old man with corticosteroid-dependent chronic obstructive pulmonary disease and sciatica presented with a chronic median glossitis due to HSV-1. The main clinical and histological feature was massive necrosis of the entire mucosa. Immunohistochemistry demonstrated a considerable amount of HSV gB, gC and gD envelope glycoproteins dispersed in the chorion...
February 1999: British Journal of Dermatology
M Clavel
The author reports a case of a 44-year-old woman with sciatica due to a herniated lumbar disc complicated by the appearance of a zoster eruption over the same, or nearly the same, dermatome. Among the causative factors that trigger herpes zoster prolapsed intervertebral disc is not usually included.
1981: Acta Neurochirurgica
D A Fisher
Seven patients with recurrent herpes simplex and sciatic neuralgia are presented. All were premenopausal women, and six had premenstrual onset. Amantadine hydrochloride taken at the first sign and symptoms of herpes simplex vesiculation prevented or aborted neuralgia in the six patients given this medication. Recognition of the herpes simplex sciatica syndrome is important because the signs and symptoms associated with this condition may lead to unnecessary myelography. Herpes simplex radiculitis, including herpes simplex sciatica, may occur more frequently than recognized...
May 1982: Cutis; Cutaneous Medicine for the Practitioner
R Pluvinage
No abstract text is available yet for this article.
January 20, 1968: La Semaine des Hôpitaux: Organe Fondé Par L'Association D'enseignement Médical des Hôpitaux de Paris
K K Jain
No abstract text is available yet for this article.
October 1974: Journal of Neurosurgery
J P Colquhoun
No abstract text is available yet for this article.
January 1988: Australian Family Physician
V de la Sayette, F Chapon, F Freymuth, B Lechevalier
A 52-year old man presented with recurrent Herpes simplex of the thigh and buttock of 30 years duration. The skin eruption was preceded by pain and sciatica. Surgical excision of the skin area involved modified the site of recurrence. During an attack, the patient developed severe pain and hypoaesthesia in the left half of his chest. The skin lesions were unmodified, and a type 2 Herpes simplex virus was isolated from a vesicle. A clinical examination performed 5 weeks later showed reduced sensitivity to pin prick in the previously painful D5 to D12 territory...
May 11, 1985: La Presse Médicale
K A Burkman, R W Gaines, S R Kashani, R D Smith
Herpes zoster probably occurs more often than generally thought. Since it produces a radicular distribution of pain, it should be included in the differential diagnosis of radiculopathy. A case is presented in which evaluating the radicular low back pain before the characteristic rash appears was misleading. Careful history-taking concerning the exact nature of the pain and sensory changes is needed to differentiate between zoster and radiculopathy, if no rash is evident.
February 1988: Archives of Physical Medicine and Rehabilitation
R E Morrison, S A Shatsky, G E Holmes, F H Top, A N Martins
Herpes simplex virus type I was isolated from the CSF of a patient with atypical lumbosacral pain. The features of this case are unusual and important in light of the current understanding of herpes-simplex-virus-associated neurologic disease.
January 26, 1979: JAMA: the Journal of the American Medical Association
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