Evidence map›Paper›PMID 41917977›Full record

ArticleJournal of medical case reports2026

Upper limb paresis due to herpes zoster successfully managed in an outpatient setting: a case report.

Yutaka Kozu, Hitoshi Kozu, Yasuhiro Gon

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PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of medical case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Yutaka KozuDivision of Respiratory Medicine, Department of Internal Medicine, Nihon University School of Medicine, 30-1 Oyaguchi Kamicho, Itabashi-Ku, Tokyo, 173-8610, Japan. kozu.yutaka@nihon-u.ac.jp.ORCID http://orcid.org/0000-0003-4472-3625
Hitoshi KozuKozu Medical Clinic, 5-4-7, Wakabayashi, Setagaya-Ku, Tokyo, 154-0023, Japan.
Yasuhiro GonDivision of Respiratory Medicine, Department of Internal Medicine, Nihon University School of Medicine, 30-1 Oyaguchi Kamicho, Itabashi-Ku, Tokyo, 173-8610, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundReactivation of the varicella zoster virus can result in a neurological complication, including segmental zoster paresis. Outpatient management of upper limb paresis due to herpes zoster is rarely reported, making this case clinically relevant. CASE PRESENTATION: We describe a 70-year-old Japanese woman initially diagnosed with cervical spondylosis who later developed a vesicular rash and progressive left arm weakness. Neurological examination and nerve conduction studies revealed motor involvement consistent with segmental zoster paresis. She was treated with antiviral therapy, physical rehabilitation, analgesics, and adjunctive vitamin supplementation, leading to full recovery.

conclusionThis case shows the feasibility of outpatient management in select cases of segmental zoster paresis and the importance of timely intervention. Herpes zoster should be considered in the differential diagnosis of acute unilateral arm paresis, especially in cases involving radicular pain.

Indexed as

Antiviral AgentsHerpes ZosterParesisSpondylosisUpper ExtremityAcyclovirAgedAmbulatory CareAnalgesicsFemaleHumansNerve Conduction StudiesTreatment OutcomeAcyclovirAnalgesicsAntiviral AgentsBrachial plexopathyCervical spondylosisHerpes zosterSegmental zoster paresisUpper limb paresis

Identifiers

PMID41917977
PMCPMC13162472

What Socratic holds

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.