In conclusion, patients on chronic immunosuppressive therapy can be at higher risk of developing plexopathy or polyradiculopathy
secondary to herpes zoster.
Mononeuropathy multiplex (MM), polyradiculopathy
, symptomatic dysautonomia, myopathy, cranial neuropathy and CNS involvement are less common.
is often at multiple levels, as distinguished from the mono-radicular, well-demarcated pain affecting one of several key dermatomes that's typical in patients with a herniated disc.
Another possibility would be immunologically mediated inflammatory polyradiculopathy
, similar to a regional Guillain-Barre syndrome, which would make more sense immunologically and therefore has slightly more scientific merit; however, neither theory has yet been fully tested.
Central nervous system disease can present with dementia, delirium, seizures, focal neurologic signs, myelopathy, polyradiculopathy
, peripheral neuropathy, and myopathy.
Talpos D, Tien RD, Hesselink JR et al,Magnetic resonance imaging of AIDS related polyradiculopathy
The prolonged F-wave latencies and proximal denervation suggested a polyradiculopathy
Differential diagnoses included meningoencephalitis with associated motor polyradiculopathy
and monoplegia secondary to stroke.
CASE FACTS: On February 23, 1998, Roslyn Braverman underwent surgery at Columbia Hospital for cervical spinal stenosis and left upper extremities polyradiculopathy
On admission, EMG revealed asymmetric polyradiculopathy
with axonal degeneration, whereas somatosensory evoked potentials showed no tibial periferic or cortical responses.
CMV is a recognised cause of acute inflammatory demyelinating polyradiculopathy
(Guillain-Barre syndrome), the hallmarks of which are rapidly progressive ascending and often asymmetrical paraesthesiae, sensory loss and areflexia, as well as urinary retention, constipation and incontinence.
The second needle examination showed a polyradiculopathy
involving the L2, L3, and L4 nerve root levels represented in multiple peripheral nerve innervated muscles.