Although cutaneous herpes zoster eruptions are commonly localized in the lower thoracic dermatomes, motor involvement is rare. The incidence of associated abdominal muscle weakness varies between 0% and 2%, in contrast to herpes zoster localized in the limbs and face.1
A 72-year-old man was admitted to the Unit of Neurophysiopathology, Hospital “Lotti,” Pontedera, Italy, because of a rash, stinging sensation, and abdominal pain on the left side of the abdomen, which had developed 5 weeks earlier. In addition to the rash and pain, the patient reported of swelling restricted to the lower left side of the abdomen.
Michelangelo Mancuso, Maria P. Virgili, Chiara Pizzanelli, Annalisa Chiari, Giovanni Geri, Maria C. Michelassi, Renato Galli. Abdominal Pseudohernia Caused by Herpes Zoster Truncal D12 Radiculoneuropathy. Arch Neurol. 2006;63(9):1327. doi:10.1001/archneur.63.9.1327