Common peroneal and tibial nerve @entity912 secondary to herpes XXXX : a case report.

@entity1 @entity1033 @entity13432 @entity1910 @entity912 @entity425 @entity281 @entity1897 @entity9
BACKGROUND: The usual presentation of herpes zoster (HZ) is a self-limiting @entity1910 , often accompanied by @entity9 . However, HZ can give rise to other complications, that have unusual presentations and serious sequelae like segmental motor @entity912 of the limbs that is a relatively rare complication. CASE: A 68-year-old @entity1 presented with foot drop on the right side had a history of @entity281 on and around the knee and the popliteal fossa. He was treated with @entity1033 by a dermatologist and 10 days after the inital symptoms he developed @entity425 on the right ankle and on the muscles distal to the knee. In a few days foot drop has developed and he was unable to walk without help. Three months later he was admitted to the neurology out @entity1 clinic. On his electrophysiological examination common peroneal nerve could not be stimulated on the right side. The distal latency of the tibial nerve has prolonged, @entity13432 amplitude has diminished and the nerve conduction velocity has slowed down. Latency of the sural nerve has prolonged with a small SNAP amplitude and a slow nerve conduction velocity on the right side. Electromyography revealed denervation on the muscles inervated by tibialis anterior and common peroneal nerves distal to the knee. CONCLUSION: The double mononeuropathy of the tibial and common peroneal nerves secondary to HZ was not found in the published data. HZ should be considered as a possible cause of the @entity1897 and more attention should be paid to it.
