{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T12:40:54Z","timestamp":1789216854006,"version":"build-2803163510"},"reference-count":27,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2014,5,14]],"date-time":"2014-05-14T00:00:00Z","timestamp":1400025600000},"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":[[2014,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:p><jats:italic>Introduction<\/jats:italic>: Paresis is a long\u2010recognized complication of herpes zoster, but there has been comparatively little study of zoster\u2010associated limb paresis (ZALP). <jats:italic>Methods<\/jats:italic>: In this study we reviewed 49 Mayo Clinic patients with ZALP. <jats:italic>Results<\/jats:italic>: The mean age of onset was 71 years, 67% were men, and the lower limb was affected in 55%. The mean weakness score was 2.0 (0\u2009=\u2009normal strength, 4\u2009=\u2009plegia). Most patients developed postherpetic neuralgia (PHN, 92% at 1 month and 65% at 3 months), and the average minimum duration of weakness was 193 days. ZALP was caused by radiculopathy (37%), plexopathy (41%), mononeuropathy (14%), and radiculoplexus neuropathy (8%). MRI demonstrated nerve enlargement, T2 signal prolongation, or enhancement in a majority (64%) of affected plexi and peripheral nerves. <jats:italic>Conclusions<\/jats:italic>: ZALP is associated with considerable weakness. It typically lasts at least several months, localizes to plexus or peripheral nerve in 63%, and is associated with high rates of PHN. <jats:italic>Muscle Nerve<\/jats:italic> 50:177\u2013185, 2014<\/jats:p>","DOI":"10.1002\/mus.24141","type":"journal-article","created":{"date-parts":[[2013,12,4]],"date-time":"2013-12-04T13:13:38Z","timestamp":1386162818000},"page":"177-185","source":"Crossref","is-referenced-by-count":43,"title":["Clinical, electrophysiologic, and imaging features of zoster\u2010associated limb paresis"],"prefix":"10.1002","volume":"50","author":[{"suffix":"Jr.","given":"Lyell K.","family":"Jones","sequence":"first","affiliation":[{"name":"Department of Neurology Mayo Clinic, Rochester 200 First Street SW Minnesota 55905 USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Reda","family":"Haatem","sequence":"additional","affiliation":[{"name":"Department of Neurology Mayo Clinic, Rochester 200 First Street SW Minnesota 55905 USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James C.","family":"Watson","sequence":"additional","affiliation":[{"name":"Department of Neurology Mayo Clinic, Rochester 200 First Street SW Minnesota 55905 USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,5,14]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMcp013211"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.4065\/82.11.1341"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.4065\/84.9.787"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM200003023420906"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.2.304.460"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.22.5.459"},{"key":"e_1_2_6_8_1","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_6_9_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.42.5.1122"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.56.9.1001"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.41.6.799"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa051016"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1212\/01.WNL.0000123261.00004.29"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1067\/mjd.2002.120924"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1053\/apmr.2002.33989"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/mus.23342"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1212\/01.WNL.0000082386.79903.22"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1001\/archneurpsyc.1944.02290270005002"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/0304-3959(91)90124-G"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1006\/nbdi.1998.0204"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000372-199704000-00006"},{"key":"e_1_2_6_22_1","first-page":"61","article-title":"Herpes zoster brachial plexus neuritis","volume":"16","author":"Fabian VA","year":"1997","journal-title":"Clin Neuropathol"},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.1002\/mus.20108"},{"key":"e_1_2_6_24_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00415-009-5266-4"},{"key":"e_1_2_6_25_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.46.2.559"},{"key":"e_1_2_6_26_1","doi-asserted-by":"publisher","DOI":"10.1212\/01.wnl.0000326964.26673.8e"},{"key":"e_1_2_6_27_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.51.5.1405"},{"key":"e_1_2_6_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-510X(03)00081-9"}],"container-title":["Muscle &amp; 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