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Han, Jeong, Yoo, and Ahn: Spinal segmental myoclonus improved with epidural blockade in a patient with herpes zoster radiculitis
Case Report

Ann Clin Neurophysiol 2017;19(1):71-73.

Published online: 5 January 2017

DOI: https://doi.org/10.14253/acn.2017.19.1.71

Spinal segmental myoclonus improved with epidural blockade in a patient with herpes zoster radiculitis

Su-Hyun Han, Hae-Bong Jeong, Il-Han Yoo, Suk-Won Ahn

Department of Neurology, Chung-Ang University Hospital, Chung-Ang University College of Medicine, Seoul, Korea

Correspondence to Suk-Won Ahn Department of Neurology, Chung-Ang University Hospital, Chung-Ang University College of Medicine, 102 Heukseok-ro, Dongjak-gu, Seoul 06973, Korea Tel: +82-2-6299-1504 Fax: +82-2-6299-1504 E-mail: sukwonahn@gmail.com

Received 6 October 201621 November 2016       Accepted 30 November 2016

Copyright © 2017 The Korean Society of Clinical Neurophysiology

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

초록

The spinal segmental myoclonus by viral radiculitis has been rarely reported and the patho-physiology remains to be elucidated. However, the hyperactivity of contiguous anterior horn neurons induced by viral irritation has been suggested to be a possible patho-mechanism. In general, spinal segmental myoclonus is not well-controlled by medication and the patient suffers from continuous involuntary movement. We recently experienced a case of spinal segmental myoclonus induced by herpes zoster radiculitis, and which was successfully relieved by epidural injections.

Keywords: Spinal myoclonus, Myoclonus, Herpes zoster, Radiculitis

REFERENCES

1.Jankovic J., Pardo R. Segmental myoclonus. Clinical and pharma-cologic study. Arch Neurol. 1986. 43:1025–1031.
2.Hoehn MM., Cherington M. Spinal myoclonus. Neurology. 1977. 27:942–946.
crossref
3.Dhaliwal GS., McGreal DA. Spinal myoclonus in association with herpes zoster infection: two case reports. Can J Neurol Sci. 1974. 1:239–241.
crossref
4.Estraneo A., Saltalamacchia AM., Loreto V. Spinal myoclonus fol-lowing herpes zoster radiculitis. Neurology. 2007. 68:E4.
crossref
5.Koppel BS., Daras M. Segmental myoclonus preceding herpes zoster radiculitis. Eur Neurol. 1992. 32:264–266.
crossref
6.Caviness JN., Brown P. Myoclonus: current concepts and recent advances. Lancet Neurol. 2004. 3:598–607.
crossref
7.Davis SM., Murray NM., Diengdoh JV., Galea-Debono A., Kocen RS. Stimulus-sensitive spinal myoclonus. J Neurol Neurosurg Psychi-atry. 1981. 44:884–888.
crossref
8.van Wijck AJ., Wallace M., Mekhail N., van Kleef M. Evidence-based interventional pain medicine according to clinical diagnoses. 17. Herpes zoster and postherpetic neuralgia. Pain Pract. 2011. 11:88–97.
9.Conliffe TD., Dholakia M., Broyer Z. Herpes zoster radiculopathy treated with fluoroscopically-guided selective nerve root injection. Pain Physician. 2009. 12:851–853.
10.Abdi S., Datta S., Trescot AM., Schultz DM., Adlaka R., Atluri SL, et al. Epidural steroids in the management of chronic spinal pain: a systematic review. Pain Physician. 2007. 10:185–212.
11.Sim WS., Choi CH., Han KR., Kim YC. Treatment of herpes zoster and postherpetic neuralgia. Korean J Pain. 2008. 21:93–105.
crossref
12.Abdi S., Datta S., Lucas LF. Role of epidural steroids in the management of chronic spinal pain: a systematic review of effectiveness and complications. Pain Physician. 2005. 8:127–143.
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