A case of varicella zoster encephalitis with glossopharyngeal and vagus nerve injury as primary manifestation combined with medulla lesion

Varicella zoster virus (VZV) can invade the brainstem or brain via the glossopharyngeal, vagus , or facial nerve, resulting in brainstem inflammation or encephalitis. We report the case of a 66-year-old male patient with a primary manifestation of medulla injury of the glossopharyngeal and vagus ner...

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Autores principales: Cao, Duan-Hua, Xie, Ya-Nan, Ji, Ye, Han, Jing-Zhe, Zhu, Jian-Guo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2019
Materias:
Case Reports
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6567763/
https://www.ncbi.nlm.nih.gov/pubmed/30880528
http://dx.doi.org/10.1177/0300060519833529
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author Cao, Duan-Hua
Xie, Ya-Nan
Ji, Ye
Han, Jing-Zhe
Zhu, Jian-Guo
author_facet Cao, Duan-Hua
Xie, Ya-Nan
Ji, Ye
Han, Jing-Zhe
Zhu, Jian-Guo
author_sort Cao, Duan-Hua
collection PubMed
description Varicella zoster virus (VZV) can invade the brainstem or brain via the glossopharyngeal, vagus , or facial nerve, resulting in brainstem inflammation or encephalitis. We report the case of a 66-year-old male patient with a primary manifestation of medulla injury of the glossopharyngeal and vagus nerves, combined with a medulla lesion, who was misdiagnosed with lateral medullary syndrome. Facial nerve injury and earache subsequently occurred and human herpes virus 3 (VZV) was detected by second-generation sequencing of the cerebrospinal fluid. The final diagnosis was varicella zoster encephalitis, which improved after antiviral therapy.
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spelling pubmed-65677632019-06-20 A case of varicella zoster encephalitis with glossopharyngeal and vagus nerve injury as primary manifestation combined with medulla lesion Cao, Duan-Hua Xie, Ya-Nan Ji, Ye Han, Jing-Zhe Zhu, Jian-Guo J Int Med Res Case Reports Varicella zoster virus (VZV) can invade the brainstem or brain via the glossopharyngeal, vagus , or facial nerve, resulting in brainstem inflammation or encephalitis. We report the case of a 66-year-old male patient with a primary manifestation of medulla injury of the glossopharyngeal and vagus nerves, combined with a medulla lesion, who was misdiagnosed with lateral medullary syndrome. Facial nerve injury and earache subsequently occurred and human herpes virus 3 (VZV) was detected by second-generation sequencing of the cerebrospinal fluid. The final diagnosis was varicella zoster encephalitis, which improved after antiviral therapy. SAGE Publications 2019-03-18 2019-05 /pmc/articles/PMC6567763/ /pubmed/30880528 http://dx.doi.org/10.1177/0300060519833529 Text en © The Author(s) 2019 http://creativecommons.org/licenses/by-nc/4.0/ Creative Commons Non Commercial CC BY-NC: This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (http://www.creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Case Reports
Cao, Duan-Hua
Xie, Ya-Nan
Ji, Ye
Han, Jing-Zhe
Zhu, Jian-Guo
A case of varicella zoster encephalitis with glossopharyngeal and vagus nerve injury as primary manifestation combined with medulla lesion
title A case of varicella zoster encephalitis with glossopharyngeal and vagus nerve injury as primary manifestation combined with medulla lesion
title_full A case of varicella zoster encephalitis with glossopharyngeal and vagus nerve injury as primary manifestation combined with medulla lesion
title_fullStr A case of varicella zoster encephalitis with glossopharyngeal and vagus nerve injury as primary manifestation combined with medulla lesion
title_full_unstemmed A case of varicella zoster encephalitis with glossopharyngeal and vagus nerve injury as primary manifestation combined with medulla lesion
title_short A case of varicella zoster encephalitis with glossopharyngeal and vagus nerve injury as primary manifestation combined with medulla lesion
title_sort case of varicella zoster encephalitis with glossopharyngeal and vagus nerve injury as primary manifestation combined with medulla lesion
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6567763/
https://www.ncbi.nlm.nih.gov/pubmed/30880528
http://dx.doi.org/10.1177/0300060519833529
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