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©The Author(s) 2025.
World J Clin Cases. Nov 26, 2025; 13(33): 112607
Published online Nov 26, 2025. doi: 10.12998/wjcc.v13.i33.112607
Published online Nov 26, 2025. doi: 10.12998/wjcc.v13.i33.112607
Table 1 Summary of published Elsberg syndrome cases identified through database search
| Ref. | Region | Sex/age (years) | Disease course | Comorbidities | Clinical manifestations | Treatment | Outcome | Follow-up |
| Nishiyama et al[6], 2023 | Japan | Female/77 | 10 days | None | Urinary retention, genital rash | Acyclovir, acetaminophen, urinary catheter | Persistent postherpetic neuralgia | 6 months |
| Yang et al[7], 2022 | China | Female/74 | 3 weeks | Hypertension and hyperlipidemia | Urinary retention, constipation, sacral numbness | Famciclovir, prednisone, indomethacin, mecobalamin; electroacupuncture | Complete resolution | 1 year |
| Desai et al[8], 2022 | United States | Male/45 | 12 days | Acute ischemic stroke; smoldering myeloma | Urinary retention, fecal incontinence, lumbosacral vesicular rash, right leg paresthesia | Acyclovir, dexamethasone | Required self-catheterization | 1 year |
| Bhagat et al[9], 2021 | United States | Male/56 | 4 days | AIDs; cerebrovascular event | Fever, painful rash, bilateral limb weakness, bowel/bladder dysfunction | Acyclovir; Biktarvy® | Complete resolution | 1 month |
| Santos et al[10], 2021 | Brazil | Male/52 | 2 months | Crohn’s disease; AIDs | Urinary retention and loss of sensation of the genital and left lower limb | Corticosteroid pulse and acyclovir | Incomplete improvement | - |
| Shah et al[11], 2021 | United Kingdom | Male/63 | 2 weeks | - | Low back pain, perineal and genital numbness, together with bilateral lower limb paresthesia and urinary retention | Acyclovir | Death | - |
| Saito et al[12], 2018 | Japan | Female/68 | 10 days | Type 2 diabetes mellitus; hypertension and dyslipidemia | Urinary retention and constipation; rash in the left hip | IV acyclovir, catheterization and methylprednisolone pulse | Complete resolution | 6 months |
| Abe et al[13], 2015 | Japan | Male/57 | 7 days | None | Fever with chills, headache with nausea and vomiting and intention tremors of the bilateral upper limbs, constipation and urinary retention | Acyclovir, bladder catheter | Persistent symptoms | 1 year |
| Fujii et al[14], 2015 | Japan | Male/76 | 8 days | Right testicular hydrocele | Anal pain and voiding difficulty, urinary retention, and incontinence of feces | Acyclovir, methylprednisolone and immunoglobulin | Asymptomatic at discharge | - |
| Matsumoto et al[15], 2012 | Japan | Female/55 | 4 days | Rectal ulcer | Herpes zoster, urinary retention, and constipation | Intravenous acyclovir and oral purgatives urethral catheter | Asymptomatic at discharge | - |
- Citation: Wang J, Yu XQ, Zhang XG, Song L, Lee J. Short-term spinal cord stimulation for refractory Elsberg syndrome in diabetic neuropathy: A case report. World J Clin Cases 2025; 13(33): 112607
- URL: https://www.wjgnet.com/2307-8960/full/v13/i33/112607.htm
- DOI: https://dx.doi.org/10.12998/wjcc.v13.i33.112607
