A case of Vernet syndrome with varicella zoster virus infection

被引：11

作者：

Kawabe, Kiyokazu ^{[1
]}

Sekine, Tokinori ^{[1
]}

Murata, Kiyoko ^{[1
]}

Sato, Ryuta ^{[1
]}

Aoyagi, Joe ^{[1
]}

Kawase, Yuji ^{[1
]}

Ogura, Naoko ^{[1
]}

Kiyozuka, Tetuhito ^{[1
]}

Igarashi, Osamu ^{[1
]}

Iguchi, Hiroaki ^{[1
]}

Fujioka, Toshiki ^{[1
]}

Iwasaki, Yasuo ^{[1
]}

机构：

[1] Toho Univ, Med Ctr, Omori Hosp, Dept Neurol,Ohta Ku, Tokyo 1438541, Japan

来源：

JOURNAL OF THE NEUROLOGICAL SCIENCES | 2008年 / 270卷 / 1-2期

关键词：

Vernet syndrome; varicella zoster virus; MRI; PCR; jugular foramen;

D O I：

10.1016/j.jns.2008.03.005

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

A 40-year-old man was admitted to our department, because of sudden onset of dysphagia, hoarseness, left neck pain and headache. There were no skin lesions. On neurological examination, there were paralysis of the left soft palate and constrictor muscles of the pharynx, weakness of the left sternocleidomastoid and left upper trapezius. In cerebrospinal fluid (CSF) examination, cell count and protein concentration were elevated. Antibody titer to varicella zoster virus (VZV) was elevated in both the serum and CSF. And VZV-DNA was detected by PCR from CSF. Gd enhanced MRI showed the nodular lesion at the left jugular foramen. The diagnosis of Vernet's syndrome (VS) associated with VZV infection was made. The patient's symptoms were immediately improved with 30 mg of prednisone and 3 g of varaciclovir daily for 14 days. Only a few cases of VS due to VZV have been reported previously. Our case is the first case that detected VZV-DNA in CSF by PCR. (C) 2008 Elsevier B.V. All rights reserved.

引用

页码：209 / 210

页数：2

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