Imaging findings in patients with zoster-associated plexopathy

A. S. Zubair, Christopher Hunt, James Watson, A. Nelson, Lyell Jones

Research output: Contribution to journalArticlepeer-review

6 Scopus citations

Abstract

Herpes zoster is a reactivation of the latent varicella zoster virus. Among the complications of herpes zoster is zosterassociated limb paresis. The clinical and imaging features of patients with zoster-associated limb paresis due to plexopathies (zosterassociated plexopathy) have had limited description in the literature. The Mayo Clinic patient data base was searched by diagnostic code for patients diagnosed with herpes zoster between January 1, 1996, and September 30, 2012. Patients who met the inclusion criteria for zoster-associated limb paresis or herpes zoster with MRIs obtained were reviewed. Ten patients with zoster-associated plexopathy were identified. Imaging abnormalities were found in 70% of patients. Secondary denervation changes in shoulder girdle muscles and nerve T2 signal hyperintensity were the most frequent abnormalities (50%), followed by nerve enlargement (20%). Enhancement was not evident in any cases despite early imaging in 80% of the cohort. These results demonstrate the clinical utility of MR imaging in confirming the diagnosis of zoster-associated plexopathy.

Original languageEnglish (US)
Pages (from-to)1248-1251
Number of pages4
JournalAmerican Journal of Neuroradiology
Volume38
Issue number6
DOIs
StatePublished - Jun 1 2017

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Clinical Neurology

Fingerprint Dive into the research topics of 'Imaging findings in patients with zoster-associated plexopathy'. Together they form a unique fingerprint.

Cite this