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- Naohiko Iguchi, Tomoo Mano, Naoki Iwasa, Naoya Kikutsuji, Kozue Saito, and Kazuma Sugie.
- Department of Neurology, Nara Medical University, Japan.
- Intern. Med. 2023 Mar 15; 62 (6): 903907903-907.
AbstractWe herein report a case of herpes zoster complicated by right-arm paralysis, wherein cervical nerve root ultrasonography enabled the early diagnosis and a therapeutic efficacy evaluation. A 71-year-old man developed progressive weakness in the muscles innervated by the right C5-6 nerve root following the appearance of a painful rash. Cervical nerve root ultrasonography revealed C5-6 nerve root inflammatory swelling. Methylprednisolone pulse therapy and subsequent oral prednisolone therapy gradually improved the muscle weakness. At three weeks following admission, ultrasonography revealed C5-6 nerve root inflammatory swelling improvement. Ultrasonography may aid in the early detection of nerve root inflammatory swelling and help monitor treatment efficacy.
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