A Case of Diaphragmatic Paralysis Complicated by Herpes-zoster Virus Infection

Miki Oike; Toshio Naito; Mizuha Tsukada; Yasumi Kikuchi; Naoharu Sakamoto; Yukiko Otsuki; Hiroko Ohshima; Hirohide Yokokawa; Hiroshi Isonuma; Takashi Dambara

doi:10.2169/internalmedicine.51.6935

CASE REPORTS

A Case of Diaphragmatic Paralysis Complicated by Herpes-zoster Virus Infection

Miki Oike, Toshio Naito, Mizuha Tsukada, Yasumi Kikuchi, Naoharu Sakamoto, Yukiko Otsuki, Hiroko Ohshima, Hirohide Yokokawa, Hiroshi Isonuma, Takashi Dambara

Author information

Miki Oike
Department of General Medicine, Juntendo University School of Medicine, Japan
Toshio Naito
Department of General Medicine, Juntendo University School of Medicine, Japan
Mizuha Tsukada
Department of pedeatrics, Juntendo University School of Medicine, Japan
Yasumi Kikuchi
Department of General Medicine, Juntendo University School of Medicine, Japan
Naoharu Sakamoto
Department of General Medicine, Juntendo University School of Medicine, Japan
Yukiko Otsuki
Department of General Medicine, Juntendo University School of Medicine, Japan
Hiroko Ohshima
Department of General Medicine, Juntendo University School of Medicine, Japan
Hirohide Yokokawa
Department of General Medicine, Juntendo University School of Medicine, Japan
Hiroshi Isonuma
Department of General Medicine, Juntendo University School of Medicine, Japan
Takashi Dambara
Department of General Medicine, Juntendo University School of Medicine, Japan

Keywords: dyspnea, herpes-zoster, diaphragmatic paralysis, phrenic nerve

JOURNAL OPEN ACCESS

2012 Volume 51 Issue 10 Pages 1259-1263

DOI https://doi.org/10.2169/internalmedicine.51.6935

Details

Abstract

Diaphragmatic paralysis is commonly caused by surgical and traumatic injuries, malignant neoplasm, and neurodegenerative disorders. However, in rare instances, diaphragmatic paralysis due to herpes-zoster virus infection has been reported. Here, we describe an 85-year-old woman who developed left hemidiaphragmatic paralysis within 19 days of the appearance of a typical herpes-zoster rash involving the C4-5 dermatome on the left side. Clinical and radiological findings revealed no local causes of phrenic nerve lesion. The hemidiaphragmatic paralysis was thought to be caused by herpes-zoster virus infection.

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