{"title":"Herpes zoster mimicking spinal cord injury after endoscopic spine surgery: A case review.","authors":"Chang-Hyun Lee, Sung-Kyu Kim","doi":"10.1177/10538127251318927","DOIUrl":null,"url":null,"abstract":"<p><p>BackgroundHerpes zoster mimicking radiculopathy after spinal surgery has been reported in some studies. But immediate onset of herpes zoster after spinal surgery has not been reported.ObjectiveThis case report aims to increase the awareness of the possible misdiagnosis of herpes zoster as iatrogenic nerve damage because of the occurrence of dermatome pain immediately after surgery.Case descriptionA 41-year-old man presented with a tingling sensation in the lower part of his left trunk and leg and mild gait disturbance. He was diagnosed with T10-11 ossification of the yellow ligament and underwent excision using biportal endoscopy. The operative course was uneventful; however, after waking up from anesthesia, he complained of severe pain and allodynia in his right lower abdomen corresponding to the T10-11-12 dermatome. We suspected spinal cord injury and administered high-dose corticosteroids.ResultsFollow-up MRI showed no significant nerve damage. On postoperative day 5, the patient developed erythematous papules, mainly along the distribution of the T5, T11 root dermatome, which was diagnosed as disseminated zoster.ConclusionHerpes zoster reactivation should be considered in differential diagnosis for new symptoms in a dermatomal distribution after spine surgery in the absence of other suspected iatrogenic causes during surgery.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251318927"},"PeriodicalIF":1.4000,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Back and Musculoskeletal Rehabilitation","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/10538127251318927","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"ORTHOPEDICS","Score":null,"Total":0}
引用次数: 0
Abstract
BackgroundHerpes zoster mimicking radiculopathy after spinal surgery has been reported in some studies. But immediate onset of herpes zoster after spinal surgery has not been reported.ObjectiveThis case report aims to increase the awareness of the possible misdiagnosis of herpes zoster as iatrogenic nerve damage because of the occurrence of dermatome pain immediately after surgery.Case descriptionA 41-year-old man presented with a tingling sensation in the lower part of his left trunk and leg and mild gait disturbance. He was diagnosed with T10-11 ossification of the yellow ligament and underwent excision using biportal endoscopy. The operative course was uneventful; however, after waking up from anesthesia, he complained of severe pain and allodynia in his right lower abdomen corresponding to the T10-11-12 dermatome. We suspected spinal cord injury and administered high-dose corticosteroids.ResultsFollow-up MRI showed no significant nerve damage. On postoperative day 5, the patient developed erythematous papules, mainly along the distribution of the T5, T11 root dermatome, which was diagnosed as disseminated zoster.ConclusionHerpes zoster reactivation should be considered in differential diagnosis for new symptoms in a dermatomal distribution after spine surgery in the absence of other suspected iatrogenic causes during surgery.
期刊介绍:
The Journal of Back and Musculoskeletal Rehabilitation is a journal whose main focus is to present relevant information about the interdisciplinary approach to musculoskeletal rehabilitation for clinicians who treat patients with back and musculoskeletal pain complaints. It will provide readers with both 1) a general fund of knowledge on the assessment and management of specific problems and 2) new information considered to be state-of-the-art in the field. The intended audience is multidisciplinary as well as multi-specialty.
In each issue clinicians can find information which they can use in their patient setting the very next day.