Article ; Online: Polyneuritis cranialis and vasculopathy caused by varicella zoster virus without rash.
2020 Volume 120, Issue 4, Page(s) 1029–1032
Abstract: The neurological disorders caused by Varicella Zoster Virus (VZV) in the absence of skin rash are a challenge to the clinician. The presentation varies from acute to subacute to chronic. Reactivation of VZV usually produces zoster (shingles), meningitis ... ...
Abstract | The neurological disorders caused by Varicella Zoster Virus (VZV) in the absence of skin rash are a challenge to the clinician. The presentation varies from acute to subacute to chronic. Reactivation of VZV usually produces zoster (shingles), meningitis or meningoencephalitis, cerebellitis, isolated or multiple cranial nerve palsies (polyneuritis cranialis), myelitis, and vasculopathy. In our case, we report a 41-year-old female presented with right oculomotor, vestibulocochlear and facial neuropathies occurred 1 year before admission and making the diagnosis. There were no skin or mucosa lesions. Magnetic Resonance Imaging revealed multiple subcortical infractions in the right temporal and occipital lobes which consist with silent vasculopathy. The diagnosis was confirmed by the existence of anti-VZV IgG in cerebrospinal fluid (CSF). |
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MeSH term(s) | Adult ; Brain/pathology ; Brain/virology ; Cranial Nerve Diseases/diagnosis ; Cranial Nerve Diseases/pathology ; Cranial Nerve Diseases/virology ; Exanthema/diagnosis ; Exanthema/virology ; Female ; Herpes Zoster/virology ; Humans ; Magnetic Resonance Imaging/methods ; Myelitis/diagnosis ; Myelitis/virology ; Nervous System Diseases ; Neuritis/diagnosis ; Neuritis/pathology ; Neuritis/virology |
Language | English |
Publishing date | 2020-06-10 |
Publishing country | Italy |
Document type | Case Reports ; Journal Article |
ZDB-ID | 127315-2 |
ISSN | 2240-2993 ; 0300-9009 |
ISSN (online) | 2240-2993 |
ISSN | 0300-9009 |
DOI | 10.1007/s13760-020-01395-2 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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