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Arch Neurol. 2006;63:1327.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Although cutaneous herpes zoster eruptions are commonly localized in the lower thoracic dermatomes, motor involvement is rare. The incidence of associated abdominal muscle weakness varies between 0% and 2%, in contrast to herpes zoster localized in the limbs and face.¹

A 72-year-old man was admitted to the Unit of Neurophysiopathology, Hospital "Lotti," Pontedera, Italy, because of a rash, stinging sensation, and abdominal pain on the left side of the abdomen, which had developed 5 weeks earlier. In addition to the rash and pain, the patient reported of swelling restricted to the lower left side of the abdomen.

Physical examination revealed herpetic vesicular eruption in the left D12 dermatome, as well as reduced muscle tone with a prominent bulging of abdominal contents in the same area (Figure). Cutaneous sensation over the pseudohernia was impaired. Results of routine blood tests were normal. Abdominal ultrasonographic and spinal magnetic resonance images were . . . [Full Text of this Article]

AUTHOR INFORMATION

Michelangelo Mancuso, MD, PhD; Maria P. Virgili, MD; Chiara Pizzanelli, MD; Annalisa Chiari, MD; Giovanni Geri, MD; Maria C. Michelassi, MD; Renato Galli, MD