August 24, 1984

Hemiparesis and Bell's Palsy Following Brachial Plexus Herpes Zoster

Author Affiliations

Parma, Ohio

JAMA. 1984;252(8):1012. doi:10.1001/jama.1984.03350080018015

To the Editor.—  Delayed postherpetic contralateral hemiplegia or hemiparesis following herpes zoster ophthalmicus has been described before.1-4 Asynchronous contralateral hemiparesis and ipsilateral Bell's palsy following herpes zoster of the left brachial plexus is the subject of this report.

Report of a Case.—  A 58-year-old woman was taken to the emergency room because of sudden right-sided hemiparesis, 37 days after her condition was diagnosed as herpes zoster of the left brachial plexus dermatomes, which had been treated with anodynes.On her admission to the hospital, vasodilator (papaverine and niacin) and anti-platelet (aspirin and dipyridamole) treatment was initiated. Biochemical, serological, and hematological study findings were within normal limits. Brain computed tomography and digital subtraction angiography of the extracranial and visualized intracranial circulation reported no defects. At the time she was discharged from the hospital, there was progressive improvement, and treatment with the same medications was to be continued.On Nov 5,