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Varicella-zoster virus reactivation from multiple ganglia: a case report

INTRODUCTION: Simultaneous involvements of multiple cranial nerve ganglia (geniculate ganglion and peripheral ganglia of cranial nerves VIII, IX and X) by varicella-zoster virus and its subsequent activation may result in the characteristic eruptions of herpes zoster cephalicus. Coexistence of facia...

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Autores principales: Hashemilar, Mazyar, Ghabili, Kamyar, Shoja, Mohammadali Mohajel, Savadi-Oskouei, Dariush, Keyvani, Hossein
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2009
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2767152/
https://www.ncbi.nlm.nih.gov/pubmed/19918290
http://dx.doi.org/10.4076/1752-1947-3-9134
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author Hashemilar, Mazyar
Ghabili, Kamyar
Shoja, Mohammadali Mohajel
Savadi-Oskouei, Dariush
Keyvani, Hossein
author_facet Hashemilar, Mazyar
Ghabili, Kamyar
Shoja, Mohammadali Mohajel
Savadi-Oskouei, Dariush
Keyvani, Hossein
author_sort Hashemilar, Mazyar
collection PubMed
description INTRODUCTION: Simultaneous involvements of multiple cranial nerve ganglia (geniculate ganglion and peripheral ganglia of cranial nerves VIII, IX and X) by varicella-zoster virus and its subsequent activation may result in the characteristic eruptions of herpes zoster cephalicus. Coexistence of facial palsy and involvement of upper cervical dermatomes by varicella-zoster virus is quite rare. CASE PRESENTATION: Here, we report a 71-year-old Iranian man with involvement of multiple sensory ganglia (geniculate ganglion and upper dorsal root ganglia) by varicella-zoster virus. He presented with right-sided facial weakness along with vesicular eruptions on the right side of his neck, and second and third cervical dermatomes. CONCLUSION: The present case is an example of herpes zoster cephalicus with cervical nerve involvement. Although resembling Ramsay Hunt syndrome with presence of facial nerve paralysis and accompanying vesicles, involvement of cervical dermatomes is not a feature of the classic Ramsay Hunt syndrome.
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spelling pubmed-27671522009-11-16 Varicella-zoster virus reactivation from multiple ganglia: a case report Hashemilar, Mazyar Ghabili, Kamyar Shoja, Mohammadali Mohajel Savadi-Oskouei, Dariush Keyvani, Hossein J Med Case Reports Research article INTRODUCTION: Simultaneous involvements of multiple cranial nerve ganglia (geniculate ganglion and peripheral ganglia of cranial nerves VIII, IX and X) by varicella-zoster virus and its subsequent activation may result in the characteristic eruptions of herpes zoster cephalicus. Coexistence of facial palsy and involvement of upper cervical dermatomes by varicella-zoster virus is quite rare. CASE PRESENTATION: Here, we report a 71-year-old Iranian man with involvement of multiple sensory ganglia (geniculate ganglion and upper dorsal root ganglia) by varicella-zoster virus. He presented with right-sided facial weakness along with vesicular eruptions on the right side of his neck, and second and third cervical dermatomes. CONCLUSION: The present case is an example of herpes zoster cephalicus with cervical nerve involvement. Although resembling Ramsay Hunt syndrome with presence of facial nerve paralysis and accompanying vesicles, involvement of cervical dermatomes is not a feature of the classic Ramsay Hunt syndrome. BioMed Central 2009-09-14 /pmc/articles/PMC2767152/ /pubmed/19918290 http://dx.doi.org/10.4076/1752-1947-3-9134 Text en Copyright ©2009 licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/3.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research article
Hashemilar, Mazyar
Ghabili, Kamyar
Shoja, Mohammadali Mohajel
Savadi-Oskouei, Dariush
Keyvani, Hossein
Varicella-zoster virus reactivation from multiple ganglia: a case report
title Varicella-zoster virus reactivation from multiple ganglia: a case report
title_full Varicella-zoster virus reactivation from multiple ganglia: a case report
title_fullStr Varicella-zoster virus reactivation from multiple ganglia: a case report
title_full_unstemmed Varicella-zoster virus reactivation from multiple ganglia: a case report
title_short Varicella-zoster virus reactivation from multiple ganglia: a case report
title_sort varicella-zoster virus reactivation from multiple ganglia: a case report
topic Research article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2767152/
https://www.ncbi.nlm.nih.gov/pubmed/19918290
http://dx.doi.org/10.4076/1752-1947-3-9134
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