{'fraction_non_alphanumeric': 0.021671826625386997, 'fraction_numerical': 0.010061919504643963, 'mean_word_length': 4.621739130434783, 'pattern_counts': {'":': 0, '<': 0, '<?xml version=': 0, '>': 0, 'https://': 0, 'lorem ipsum': 0, 'www.': 0, 'xml': 0}, 'pii_count': 0, 'substrings_counts': 0, 'word_list_counts': {'cursed_substrings.json': 0, 'profanity_word_list.json': 0, 'sexual_word_list.json': 0, 'zh_pornsignals.json': 0}}
Postherpetic paresis of the lower limb

Dear Editor, Herpes zoster is a common disease which is usually associated with sensory nerve damage. However, the occurrence of motor nerve damage other than Ramsay–Hunt syndrome is quite rare. We experienced a case demonstrating postherpetic lower limb paresis, and we herein report the findings of this case with a review of the published work. A 76-year-old male developed painful vesicles and erythema on his lower back area, right buttock, interior aspect of the right thigh and right leg (Fig. 1a,b). The patient was diagnosed to have herpes zoster and was treated with 750 mg/day of intravenous acyclovir after being admitted to the dermatological unit of our hospital on day 2. Both the rashes and the pain rapidly improved by day 6 after onset of symptoms. The patient was discharged on day 7. At around day 20, the patient fell down several times while walking and thus consulted the neurological unit of our hospital because of this symptom. As a result, he was found to have muscle weakness and slight hypoesthesia of the right lower limb. On day 28, he was admitted to the neurological unit for further examination. Upon admission, the right patellar tendon reflex and both Achilles tendon reflexes were absent. A manual evaluation of the