REHABILITATION MANAGEMENT OF SEGMENTAL ZOSTER PARESIS IN THE LOWER EXTREMITY

概要

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A 76 years-old single female with a history of lumbar spinal canal stenosis followed by right hip arthrodesis was diagnosed with herpes zoster in the derematomes L2-4 in the lower left extremity on 6 September 2004. On 20 September the patient was diagnosed with Segmental Zoster Paresis (following SZP) due to muscle weakness. A manual muscle test indicated a decrease of left leg muscular strength (level 2) mainly on the iliopsoas muscle and the quadriceps femoris muscle, and the right hip joint showed flexural difficulty. Life at home required that the patient go up and down stairs, and the prediction of a prognosis was difficult. Muscular strength and daily life activity improved approximately 3 months after hospitalization. SZP is rare disease, and prognosis is unknown frequently. We report a case of SZP that is a good prognosis, but has difficulty with the rehabilitation management.