A Case of Herpes Zoster Myelitis

J Korean Neurol Assoc > Volume 6(2); 1988 > Article

Journal of the Korean Neurological Association 1988;6(2): 272-277.

대상포진 척수염 1예

황연미, 이병인,정재우,안재훈,김기환,김동익

연세대학교 신경과, 방사선과.

A Case of Herpes Zoster Myelitis

Youn-Mee Hwang,M.D., Byung-In Lee,M.D., Jae-Woo Chung,M.D., Jae-Hoon Ahn,M.D., Ki-Whan Kim,M.D., Dong-Ik Kim,M.D.

Department of Neurology, college of Medicine, Yonsei University

Abstract

Herpes zoster myelitis is quite rare and it's MRI findings have not been reported. We report a patient who developed a progressive myelopathy after a characteristic herpes zoster skin lesions involving right C3 and C4 dermatomes. The lesions were recognizable in T1-weighted images of MRI as hypointense areas in the central portion of the long segment of the spinal cord, which became more prominent in T2-weighted image as increased signal intensities. In this patient computed tomographic metrizamide myelography (CTMM) showed no detectable intra or extramedullary lesion except a slight bulging of the cervical cord.