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A Rare Presentation of Cranial Polyneuropathy Without Rash Caused by Varicella Zoster Virus
INTRODUCTION: Varicella Zoster Virus (VZV) is associated with many disorders of the central and peripheral nervous systems including neuralgia, meningitis, meningoencephalitis, cerebellitis, vasculopathy, myelopathy, Ramsay-Hunt syndrome, and polyneuritis cranialis. Cranial nerves V, VI, VII, VIII,...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
AVICENA, d.o.o., Sarajevo
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5585840/ https://www.ncbi.nlm.nih.gov/pubmed/28974853 http://dx.doi.org/10.5455/medarh.2017.71.293-295 |
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author | Tecellioglu, Mehmet Kamisli, Suat Erbay, Mehmet Fatih Kamisli, Ozden Ozcan, Cemal |
author_facet | Tecellioglu, Mehmet Kamisli, Suat Erbay, Mehmet Fatih Kamisli, Ozden Ozcan, Cemal |
author_sort | Tecellioglu, Mehmet |
collection | PubMed |
description | INTRODUCTION: Varicella Zoster Virus (VZV) is associated with many disorders of the central and peripheral nervous systems including neuralgia, meningitis, meningoencephalitis, cerebellitis, vasculopathy, myelopathy, Ramsay-Hunt syndrome, and polyneuritis cranialis. Cranial nerves V, VI, VII, VIII, IX, X, XI, and/or XII may be affected. The neurological disorders caused by VZV usually present with rash, but may rarely present without rash. CASE REPORT: We herein present a case of polyneuritis cranialis without rash caused by VZV affecting cranial nerves VII, VIII, IX, and X. After excluding other causes of the condition, we diagnosed VZV infection based on VZV DNA in the CSF and an elevated anti-VZV IgG level in serum. The patient responded well to antiviral therapy. CONCLUSION: VZV infection should be kept in mind during the differential diagnosis of polyneuritis cranialis; it is important to note that VZV re-activation may occur without rash. |
format | Online Article Text |
id | pubmed-5585840 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | AVICENA, d.o.o., Sarajevo |
record_format | MEDLINE/PubMed |
spelling | pubmed-55858402017-10-03 A Rare Presentation of Cranial Polyneuropathy Without Rash Caused by Varicella Zoster Virus Tecellioglu, Mehmet Kamisli, Suat Erbay, Mehmet Fatih Kamisli, Ozden Ozcan, Cemal Med Arch Case Report INTRODUCTION: Varicella Zoster Virus (VZV) is associated with many disorders of the central and peripheral nervous systems including neuralgia, meningitis, meningoencephalitis, cerebellitis, vasculopathy, myelopathy, Ramsay-Hunt syndrome, and polyneuritis cranialis. Cranial nerves V, VI, VII, VIII, IX, X, XI, and/or XII may be affected. The neurological disorders caused by VZV usually present with rash, but may rarely present without rash. CASE REPORT: We herein present a case of polyneuritis cranialis without rash caused by VZV affecting cranial nerves VII, VIII, IX, and X. After excluding other causes of the condition, we diagnosed VZV infection based on VZV DNA in the CSF and an elevated anti-VZV IgG level in serum. The patient responded well to antiviral therapy. CONCLUSION: VZV infection should be kept in mind during the differential diagnosis of polyneuritis cranialis; it is important to note that VZV re-activation may occur without rash. AVICENA, d.o.o., Sarajevo 2017-08 /pmc/articles/PMC5585840/ /pubmed/28974853 http://dx.doi.org/10.5455/medarh.2017.71.293-295 Text en Copyright: © 2017 Mehmet Tecellioglu, Suat Kamisli, Mehmet Fatih Erbay, Ozden Kamisli, Cemal Ozcan http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Tecellioglu, Mehmet Kamisli, Suat Erbay, Mehmet Fatih Kamisli, Ozden Ozcan, Cemal A Rare Presentation of Cranial Polyneuropathy Without Rash Caused by Varicella Zoster Virus |
title | A Rare Presentation of Cranial Polyneuropathy Without Rash Caused by Varicella Zoster Virus |
title_full | A Rare Presentation of Cranial Polyneuropathy Without Rash Caused by Varicella Zoster Virus |
title_fullStr | A Rare Presentation of Cranial Polyneuropathy Without Rash Caused by Varicella Zoster Virus |
title_full_unstemmed | A Rare Presentation of Cranial Polyneuropathy Without Rash Caused by Varicella Zoster Virus |
title_short | A Rare Presentation of Cranial Polyneuropathy Without Rash Caused by Varicella Zoster Virus |
title_sort | rare presentation of cranial polyneuropathy without rash caused by varicella zoster virus |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5585840/ https://www.ncbi.nlm.nih.gov/pubmed/28974853 http://dx.doi.org/10.5455/medarh.2017.71.293-295 |
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