Abdominal-wall postherpetic pseudohernia

被引:42
作者
Oliveira P.D. [1 ,3 ]
dos Santos Filho P.V. [1 ]
de Menezes Ettinger J.E.M.T. [1 ]
Oliveira I.C.D. [2 ]
机构
[1] Department of Surgery, Escola Bahiana de Medicina e Saúde Pública, Salvador, Bahia
[2] Department of Dermatology, Instituto de Previdência do Estado de Sergipe - IPES, Aracaju, Sergipe
[3] 41830490 Salvador, Bahia, Alameda Catânia
关键词
Abdominal distention; Abdominal wall hernia; Herpes zoster; Paresis; Pseudohernia;
D O I
10.1007/s10029-006-0102-6
中图分类号
学科分类号
摘要
Herpes zoster affects 10 - 20% of the general population. Motor complications sometimes occur in the segments corresponding to the involved sensory dermatomes causing abdominal wall pseudohernias. We present a case of a 57-year-old woman with herpes zoster characteristical rash following T11-T12 right dermatomes. Ten days after dermatologic manifestations onset, she had developed a protrusion at the abdominal wall on the right flank. The electroneuromyography confirmed axonal motor commitment, and morphological defects were ruled out by ultrasonography. The bulge totally disappeared after 4 months of observation. Postherpetic pseudohernia must be suspected when a patient develops signs and symptoms of motor dysfunction that coincide with or follow a herpes zoster eruption resulting in abdominal-wall herniation. A review of the literature concerning these extremely exceptional sequelae of herpes zoster is presented. © Springer-Verlag 2006.
引用
收藏
页码:364 / 366
页数:2
相关论文
共 15 条
[1]  
Vincent K.D., Davis L.S., Unilateral abdominal distention following herpes zoster outbreak, Arch Dermatol, 9, pp. 1168-1169, (1998)
[2]  
Healy C., McGreal G., Lenehan B., Et al., Self-limiting abdominal wall herniation and constipation following herpes zoster infection, QJM, 11, pp. 788-789, (1998)
[3]  
Safadi B.Y., Postherpetic self-limited abdominal wall herniation, Am J Surg, 2, (2003)
[4]  
Broadbent W.H., A case of herpetic eruptionin the course of branches of the brachial plexus, followed by partial paralysis in corresponding motor nerves, Br Med J, 2, (1866)
[5]  
Cockerell O.C., Ormerod I.E., Focal weakness following herpes zoster, J Neurol Neurosurg Psychiatry, 9, pp. 1001-1003, (1993)
[6]  
Thomas J.E., Howard F.M., Segmental zoster paresis - A disease profile, Neurology, 22, (1972)
[7]  
Hanakawa T., Hashimoto S., Kawamura J., Et al., Magnetic resonance imaging in a patient with segmental zoster paresis, Neurology, 2, pp. 631-632, (1997)
[8]  
Kennedy P.G.E., Neurological complications of varicela-zoster virus, Infections of the Nervous System, pp. 177-208, (1987)
[9]  
Hindmarsh A., Mehta S., Mariathas D.A., An unusual presentation of lumbar hernia, Emerg Med J, 5, (2002)
[10]  
Gottschau P., Trojaborg W., Abdominal muscle paralysis associated with herpes zoster, Acta Neurol Scand, 4, pp. 344-347, (1991)