{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T01:56:37Z","timestamp":1769046997630,"version":"3.49.0"},"reference-count":18,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2012,4,12]],"date-time":"2012-04-12T00:00:00Z","timestamp":1334188800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Muscle and Nerve"],"published-print":{"date-parts":[[2012,5]]},"abstract":"Abstract<\/jats:title>Introduction:<\/jats:title>Zoster\u2010associated limb paresis is an uncommon complication of herpes zoster (HZ) and one whose precise pathophysiologic mechanism is poorly understood. Occasionally, the paresis results from a zoster\u2010associated mononeuropathy (ZAM).<\/jats:p><\/jats:sec>Methods:<\/jats:title>Mayo Clinic records between 1996 and 2010 were reviewed for patients with ZAM whose clinical, electrophysiologic, and radiographic features were then abstracted.<\/jats:p><\/jats:sec>Results:<\/jats:title>Ulnar (2), median (3), femoral (1), and sciatic (2) mononeuropathies were identified. Most patients had moderate to severe weakness in affected muscles, and most had post\u2010herpetic neuralgia (88% at 1 month and 71% at 4 months). The minimum duration of weakness was prolonged (mean, 281.9 days; range, 45\u20131242 days). Nerve magnetic resonance imaging (MRI) was abnormal, demonstrating nerve enlargement (4\/4 cases), T2 signal hypertintensity (2\/4 cases), or enhancement (1\/4 cases).<\/jats:p><\/jats:sec>Conclusions:<\/jats:title>While ZAM is an uncommon occurrence following cutaneous HZ, it is associated with significant weakness, high rates of post\u2010herpetic neuralgia, and prolonged morbidity. Muscle Nerve, 2012<\/jats:p><\/jats:sec>","DOI":"10.1002\/mus.23342","type":"journal-article","created":{"date-parts":[[2012,2,6]],"date-time":"2012-02-06T11:20:33Z","timestamp":1328527233000},"page":"734-739","source":"Crossref","is-referenced-by-count":20,"title":["Zoster\u2010associated mononeuropathies (ZAMs): A retrospective series"],"prefix":"10.1002","volume":"45","author":[{"given":"Haatem","family":"Reda","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James C.","family":"Watson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"suffix":"Jr.","given":"Lyell K.","family":"Jones","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2012,4,12]]},"reference":[{"key":"e_1_2_5_2_2","doi-asserted-by":"publisher","DOI":"10.4065\/82.11.1341"},{"key":"e_1_2_5_3_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMcp013211"},{"key":"e_1_2_5_4_2","doi-asserted-by":"publisher","DOI":"10.1093\/brain\/115.2.383"},{"key":"e_1_2_5_5_2","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.22.5.459"},{"key":"e_1_2_5_6_2","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.56.9.1001"},{"key":"e_1_2_5_7_2","first-page":"369","article-title":"Segmental zoster paresis of limbs","volume":"36","author":"Merchut MP","year":"1996","journal-title":"Electromyogr Clin Neurophysiol"},{"key":"e_1_2_5_8_2","doi-asserted-by":"publisher","DOI":"10.1053\/apmr.2002.33989"},{"key":"e_1_2_5_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/PHM.0b013e318186bb95"},{"key":"e_1_2_5_10_2","first-page":"322","article-title":"Common peroneal and tibial nerve paralysis secondary to herpes zoster infection: a case report","volume":"50","author":"Boylu E","year":"2010","journal-title":"Electromyogr Clin Neurophysiol"},{"key":"e_1_2_5_11_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.2.5529.1571"},{"key":"e_1_2_5_12_2","doi-asserted-by":"publisher","DOI":"10.1212\/01.WNL.0000082386.79903.22"},{"key":"e_1_2_5_13_2","doi-asserted-by":"publisher","DOI":"10.1097\/CND.0b013e31820d4f31"},{"key":"e_1_2_5_14_2","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.1997.00440320117011"},{"issue":"5","key":"e_1_2_5_15_2","first-page":"1","article-title":"Prevention of herpes zoster: recommendations of the Advisory Committee on Immunization Practices (ACIP)","volume":"57","author":"Harpaz R","year":"2008","journal-title":"MMWR Recomm Rep"},{"key":"e_1_2_5_16_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa051016"},{"key":"e_1_2_5_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/0022-510X(88)90131-1"},{"key":"e_1_2_5_18_2","doi-asserted-by":"publisher","DOI":"10.1212\/01.wnl.0000326964.26673.8e"},{"key":"e_1_2_5_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.clineuro.2007.05.010"}],"container-title":["Muscle & Nerve"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fmus.23342","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fmus.23342","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/mus.23342","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,17]],"date-time":"2023-10-17T02:41:10Z","timestamp":1697510470000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/mus.23342"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,4,12]]},"references-count":18,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2012,5]]}},"alternative-id":["10.1002\/mus.23342"],"URL":"https:\/\/doi.org\/10.1002\/mus.23342","archive":["Portico"],"relation":{},"ISSN":["0148-639X","1097-4598"],"issn-type":[{"value":"0148-639X","type":"print"},{"value":"1097-4598","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,4,12]]}}}