Another case of virologically confirmed zoster sine herpete, with electrophysiologic correlation

Catherine Amlie-lefond Department of Neurology, University of Colorado Health Sciences Center, 4200 East 9th Avenue, Box Bl82, Denver, Colorado, 80662, USA

Glenn A Mackin Department of Neurology, University of Colorado Health Sciences Center, 4200 East 9th Avenue, Box Bl82, Denver, Colorado, 80662, USA

Michelle Ferguson Department of Neurology, University of Colorado Health Sciences Center, 4200 East 9th Avenue, Box Bl82, Denver, Colorado, 80662, USA

Roy R Wright Department of Neurology, University of Colorado Health Sciences Center, 4200 East 9th Avenue, Box Bl82, Denver, Colorado, 80662, USA

Ravi Mahalingam Department of Neurology, University of Colorado Health Sciences Center, 4200 East 9th Avenue, Box Bl82, Denver, Colorado, 80662, USA

Donald H Gilden Department of Neurology, University of Colorado Health Sciences Center, 4200 East 9th Avenue, Box Bl82, Denver, Colorado, 80662, USA; Department of Microbiology, University of Colorado Health Sciences Center, 4200 East 9th Avenue, Box Bl82, Denver, Colorado, 80662, USA

Abstract

A third virologically-confirmed case of thoracic-distribution zoster sine herpete is reported. Electromyography (EMG) of paraspinal muscles demonstrated frequent fibrillation potentials restricted to chronically painful thoracic root segments. Treatment with intravenous acyclovir and oral famciclovir were ineffective. These findings suggest the usefulness of EMG of muscles corresponding to painful dermatomes, combined with virologic studies, to support the diagnosis of zoster sine herpete.

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Another case of virologically confirmed zoster sine herpete, with electrophysiologic correlation

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Another case of virologically confirmed zoster sine herpete, with electrophysiologic correlation

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