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CASE REPORT
Year : 2003  |  Volume : 69  |  Issue : 7  |  Page : 21

Lumbar hernia following herpes zoster


Military Hospital Jabalpur Cantonment., (M.P) 482 001

Correspondence Address:
Military Hospital Jabalpur Cantonment., (M.P) 482 001

   Abstract 

Lumbar hernia as a complication of herpes zoster is exceedingly rare. Herein we report a case who developed lumbar hernia following herpes zoster T 10, 11 dermatome.

How to cite this article:
Baveja S, Sharma Y K, Rao P R. Lumbar hernia following herpes zoster. Indian J Dermatol Venereol Leprol 2003;69, Suppl S1:21


How to cite this URL:
Baveja S, Sharma Y K, Rao P R. Lumbar hernia following herpes zoster. Indian J Dermatol Venereol Leprol [serial online] 2003 [cited 2019 Jun 19];69, Suppl S1:21. Available from: http://www.ijdvl.com/text.asp?2003/69/7/21/5842



   Introduction Top

Herpes zoster is primarily a disease of dorsal root ganglion of sensory nerves or extramedullary ganglion of cranial nerves. The occurrence of motor deficit varies from 0.5 to 31 percent and is more common in the elderly.[1] Lumbar hernia following weakness of the anterior abdominal wall affected by herpes zoster is extremely rare. In the present communication we document one such case.


   Case Report Top

A 55-year-old patient presented with complaint of painful fluid filled rash on right side of abdomen and back of four days duration. Examination revealed multiple grouped tense vesicles on an erythematous base in right T 10 and 11 dermatome. On the seventh day of illness he developed constipation which was partially relieved with laxatives and three days thereafter noticed a diffuse swelling in the affected dermatome, which gradually increased in size over next two days and became static thereafter. Swelling was non tender, reducible and became prominent on straining [Figure - 1]. Abdominal wall movements on the affected side were reduced. He was diagnosed to have lumbar hernia which necessitated surgical repair [Figure - 2].


   Discussion Top

Herpes zoster may rarely involve the motor neurones leading to paresis/paralysis of muscles supplied by the affected segment(s). Motor affection of facial nerve is the commonest. Less commonly paralysis of ocular muscles, trunk muscles, diaphragm, bladder and bowel may occur. To the best of our knowledge only one case of lumbar hernial has been reported following herpes zoster of T10, 11 dermatome.[2] In our case also hernia occurred following weakness of abdominal wall affected by herpes zoster. Despite successful repair of the hernia, chances of recurrence are there due to residual weakness of the affected abdominal musculature. 

   References Top

1.Weiss S, Striefer M, Weiser HS. Motor lesions in herpes zoster, Eur Neurol 1975; 13:332.  Back to cited text no. 1    
2.Landthaler M, Heuser M. Paralytische Bauchwandhernie bei Zoster. Hautarzt 1979; 30:432.  Back to cited text no. 2  [PUBMED]  

 

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