Neurophysiological confirmation of phrenic nerve affection in a patient with dyspnea and herpes zoster
Introduction. Herpetic lesion of the phrenic nerve is quite uncommon. These lesions are usually unilateral, and for most clinicians, the clinical manifestation of herpes zoster in the cervical or thoracic region and diaphragmatic paralysis on the same side is sufficient for making a diagnosis of seg...
Saved in:
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade
2023-01-01
|
| Series: | Vojnosanitetski Pregled |
| Subjects: | |
| Online Access: | https://doiserbia.nb.rs/img/doi/0042-8450/2023/0042-84502300001M.pdf |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850158037498593280 |
|---|---|
| author | Martić Vesna Stojanov Aleksandar |
| author_facet | Martić Vesna Stojanov Aleksandar |
| author_sort | Martić Vesna |
| collection | DOAJ |
| description | Introduction. Herpetic lesion of the phrenic nerve is quite uncommon. These lesions are usually unilateral, and for most clinicians, the clinical manifestation of herpes zoster in the cervical or thoracic region and diaphragmatic paralysis on the same side is sufficient for making a diagnosis of segmental herpes zoster phrenic nerve palsy. We report a patient with a classic clinical picture, in which we confirmed phrenic nerve affection on nerve conduction study. Case report. A 58-year-old female patient came for an examination due to shortness of breath. The patient had a herpetic rash on her right shoulder two and a half months earlier. The elevation of the right hemidiaphragm was seen on chest X-ray imaging. Asymmetry was evident in the nerve conduction study of the phrenic nerve: prolonged latency and reduced amplitude of her right phrenic nerve. The patient was treated with acyclovir, pregabalin, and B complex vitamins. After six months, the motor deficit was reduced completely. Conclusion. A nerve conduction study of the phrenic nerve is useful in making the definitive diagnosis. Good outcome, as in this patient, is rare in patients with this diagnosis and may be linked to timely treatment with acyclovir. |
| format | Article |
| id | doaj-art-5fc0df4142834cd1af6ae04d380026ec |
| institution | OA Journals |
| issn | 0042-8450 2406-0720 |
| language | English |
| publishDate | 2023-01-01 |
| publisher | Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade |
| record_format | Article |
| series | Vojnosanitetski Pregled |
| spelling | doaj-art-5fc0df4142834cd1af6ae04d380026ec2025-08-20T02:24:00ZengMinistry of Defence of the Republic of Serbia, University of Defence, BelgradeVojnosanitetski Pregled0042-84502406-07202023-01-0180980280410.2298/VSP200511001M0042-84502300001MNeurophysiological confirmation of phrenic nerve affection in a patient with dyspnea and herpes zosterMartić Vesna0Stojanov Aleksandar1https://orcid.org/0000-0002-6462-3528Military Medical Academy, Clinic for Neurology, Belgrade, Serbia + University of Defence, Faculty of Medicine of the Military Medical Academy, Belgrade, SerbiaUniversity Clinical Center Niš, Clinic for Neurology, Niš, SerbiaIntroduction. Herpetic lesion of the phrenic nerve is quite uncommon. These lesions are usually unilateral, and for most clinicians, the clinical manifestation of herpes zoster in the cervical or thoracic region and diaphragmatic paralysis on the same side is sufficient for making a diagnosis of segmental herpes zoster phrenic nerve palsy. We report a patient with a classic clinical picture, in which we confirmed phrenic nerve affection on nerve conduction study. Case report. A 58-year-old female patient came for an examination due to shortness of breath. The patient had a herpetic rash on her right shoulder two and a half months earlier. The elevation of the right hemidiaphragm was seen on chest X-ray imaging. Asymmetry was evident in the nerve conduction study of the phrenic nerve: prolonged latency and reduced amplitude of her right phrenic nerve. The patient was treated with acyclovir, pregabalin, and B complex vitamins. After six months, the motor deficit was reduced completely. Conclusion. A nerve conduction study of the phrenic nerve is useful in making the definitive diagnosis. Good outcome, as in this patient, is rare in patients with this diagnosis and may be linked to timely treatment with acyclovir.https://doiserbia.nb.rs/img/doi/0042-8450/2023/0042-84502300001M.pdfdiagnosiselectrodiagnosisherpes zosternerve conduction studiesphrenic nerve |
| spellingShingle | Martić Vesna Stojanov Aleksandar Neurophysiological confirmation of phrenic nerve affection in a patient with dyspnea and herpes zoster Vojnosanitetski Pregled diagnosis electrodiagnosis herpes zoster nerve conduction studies phrenic nerve |
| title | Neurophysiological confirmation of phrenic nerve affection in a patient with dyspnea and herpes zoster |
| title_full | Neurophysiological confirmation of phrenic nerve affection in a patient with dyspnea and herpes zoster |
| title_fullStr | Neurophysiological confirmation of phrenic nerve affection in a patient with dyspnea and herpes zoster |
| title_full_unstemmed | Neurophysiological confirmation of phrenic nerve affection in a patient with dyspnea and herpes zoster |
| title_short | Neurophysiological confirmation of phrenic nerve affection in a patient with dyspnea and herpes zoster |
| title_sort | neurophysiological confirmation of phrenic nerve affection in a patient with dyspnea and herpes zoster |
| topic | diagnosis electrodiagnosis herpes zoster nerve conduction studies phrenic nerve |
| url | https://doiserbia.nb.rs/img/doi/0042-8450/2023/0042-84502300001M.pdf |
| work_keys_str_mv | AT marticvesna neurophysiologicalconfirmationofphrenicnerveaffectioninapatientwithdyspneaandherpeszoster AT stojanovaleksandar neurophysiologicalconfirmationofphrenicnerveaffectioninapatientwithdyspneaandherpeszoster |