An UnusuaS Case of Flaccid Paralysis of Both Lower Limbs Following Herpes Zoster

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Abstract
A 57 yr old man with left T8-9 cutaneous herpes zoster lesions and subsequent development of flaccid paralysis of both lower limbs is reported. Viral studies strongly supported a diagnosis of herpes zoster. No other cause for the paralysis was found. The time interval between the cutaneous lesions and the motor weakness, the clinical course and good recovery suggest a causal relationship. The dermatomal and myotomal dissociation was well-documented on the ipsilateral side but involvement of the contralateral side is rare. This would appear unusual in that there was bilateral weakness of LMN type.