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Kim, Hwang, Jung, Park, Kim, Kim, Yang, Park, and Jeong: Diaphragmatic Paralysis Following Cervical Herpes Zoster
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Tuberculosis and Respiratory Diseases

Tuberculosis and Respiratory Diseases 2006; 61(1): 80-82.

Published online: 31 July 2006

DOI: https://doi.org/10.4046/trd.2006.61.1.80

Diaphragmatic Paralysis Following Cervical Herpes Zoster

So Young Kim, M.D., Ki Eun Hwang, M.D., Jong Hoon Jung, M.D., Jung Hyun Park, M.D., Hwi Jung Kim, M.D., Hak Ryul Kim, M.D., Sei Hoon Yang, M.D., Hyun Young Park, M.D.1, Eun Taik Jeong, M.D.

Department of Internal Medicine, College of Medicine Wonkwang University, Iksan, Korea.

1Department of Neurology, College of Medicine Wonkwang University, Iksan, Korea.

Address for correspondence: Eun-Taik Jeong, M.D. Department of Internal Medicine, Wonkwang University Hospital, 344-2 Shinyong-dong, Iksan, Jeonbuk, 570-711, Korea. Phone: 063-850-1073, Fax: 063-855-2025, jetpul@wonkwang.ac.kr

Received 11 May 2006       Accepted 28 June 2006

Copyright © 2006 The Korean Academy of Tuberculosis and Respiratory Diseases

Abstract

Herpes zoster is well-known viral disease in immune compromised that produces inflammatory lesions in the posterior root ganglia and is characterized clinically by pain and skin eruptions along the distribution of the affected ganglia. However, motor involvement after a herpes zoster is an uncommon complication. We report a case of diaphragmatic paralysis that occurred after a herpes zoster in 63-year-old woman. The diaphragmatic paralysis occurred one month after the typical herpes zoster eruptions affecting the C3 and C4 dermatomes in the right neck, shoulder and back area.

Keywords: Herpes zoster, Diaphragmatic paralysis

Figures and Tables

Figure 1
Herpetic lesion (healing state) of right neck and shoulder.
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Figure 2
Chest X-ray shows marked elevated right diaphragm.
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Figure 3
A. Normal nerve conduction velocity(Lt. phrenic nerve)
B. Paralysed phrenic nerve conduction velocity(Rt. phrenic nerve). This figure shows increased latency and decreased amplitude.
trd-61-80-g003

References

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2. Stowasser M, Cameron J, Oliver WA. Diaphragmatic paralysis following cervical herpes zoster. Med J Aust. 1990. 153:555–556.
3. Koh YM, Baik JJ, Woo SI, Park KW, Chung YT. Diaphragmatic paralysis induced by herpes zoster. Tuberc Respir Dis. 1996. 43:92–95.
4. Oh SJ. Clinical electromyography. Nerve conduction studies. 1993. 2nd ed. Baltimore: Williams & Wilkins;166–167.
5. Lee DK, Kwak KH, Do JK, Oh HJ. Herpes zoster with multiple cranial and upper cervical nerves involvement. J Korean Neurol Assoc. 1997. 15:712–715.
6. Dutt AK. Diaphragmatic paralysis caused by herpes zoster. Am Rev Respi Dis. 1970. 101:755–758.
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