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Jack Greenberg, MD
Episcopal Hospital Philadelphia

JAMA. 1970;212(2):322.

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

To the Editor.—

The first case reported of motor involvement of the upper extremity due to herpes zoster was in 1866 by William Broadbent.¹ Grant and Rowe² reviewed the literature in 1961 and were able to find 42 cases of extremity paralysis due to herpes zoster, 30 involving the upper extremity and 12 the lower. Motor involvement of the trigeminal and facial nerves and paralysis of the intercostal and abdominal muscles are well known, and references to these entities may be found in the communication by Grant and Rowe.

Since 1961 eight more cases of extremity paralysis have been reported.^3-8 These include four patients with involvement of the shoulder and four with involvement of the lower extremity. Several patients have been described with diaphragmatic involvement along with extremity involvement,^7-8 and another report⁹ describes a patient with zoster rash of the shoulder and diaphragmatic weakness but . . . [Full Text PDF of this Article]

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