Orofacial Dyskinesia and Intractable Hiccups in a Patient with Varicella-zoster Virus Encephalomyelitis

A 73-year-old Japanese man with diabetic complications presented with involuntary lip movements and long-lasting hiccups after developing zoster rash. Magnetic resonance imaging revealed lesions involving the medial temporal lobe and C1 level of the spinal cord. Varicella-zoster virus (VZV) encephal...

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Autores principales: Funatsu, Akito, Yamamoto, Yohei, Araki, Midori, Aga, Fumitoshi, Mine, Hideki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9876721/
https://www.ncbi.nlm.nih.gov/pubmed/35676037
http://dx.doi.org/10.2169/internalmedicine.9334-22
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author Funatsu, Akito
Yamamoto, Yohei
Araki, Midori
Aga, Fumitoshi
Mine, Hideki
author_facet Funatsu, Akito
Yamamoto, Yohei
Araki, Midori
Aga, Fumitoshi
Mine, Hideki
author_sort Funatsu, Akito
collection PubMed
description A 73-year-old Japanese man with diabetic complications presented with involuntary lip movements and long-lasting hiccups after developing zoster rash. Magnetic resonance imaging revealed lesions involving the medial temporal lobe and C1 level of the spinal cord. Varicella-zoster virus (VZV) encephalomyelitis was diagnosed. We considered attributing the orofacial dyskinesia, a very rare symptom of VZV central nervous system (CNS) complications, to the temporal lobe lesion. Although the culprit lesion for the hiccups was unclear, further examinations may have clarified this issue. As immunocompromised patients with herpes zoster may develop CNS complications with a wide variety of symptoms, special care is needed.
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spelling pubmed-98767212023-02-02 Orofacial Dyskinesia and Intractable Hiccups in a Patient with Varicella-zoster Virus Encephalomyelitis Funatsu, Akito Yamamoto, Yohei Araki, Midori Aga, Fumitoshi Mine, Hideki Intern Med Case Report A 73-year-old Japanese man with diabetic complications presented with involuntary lip movements and long-lasting hiccups after developing zoster rash. Magnetic resonance imaging revealed lesions involving the medial temporal lobe and C1 level of the spinal cord. Varicella-zoster virus (VZV) encephalomyelitis was diagnosed. We considered attributing the orofacial dyskinesia, a very rare symptom of VZV central nervous system (CNS) complications, to the temporal lobe lesion. Although the culprit lesion for the hiccups was unclear, further examinations may have clarified this issue. As immunocompromised patients with herpes zoster may develop CNS complications with a wide variety of symptoms, special care is needed. The Japanese Society of Internal Medicine 2022-06-07 2023-01-01 /pmc/articles/PMC9876721/ /pubmed/35676037 http://dx.doi.org/10.2169/internalmedicine.9334-22 Text en Copyright © 2023 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/The Internal Medicine is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Funatsu, Akito
Yamamoto, Yohei
Araki, Midori
Aga, Fumitoshi
Mine, Hideki
Orofacial Dyskinesia and Intractable Hiccups in a Patient with Varicella-zoster Virus Encephalomyelitis
title Orofacial Dyskinesia and Intractable Hiccups in a Patient with Varicella-zoster Virus Encephalomyelitis
title_full Orofacial Dyskinesia and Intractable Hiccups in a Patient with Varicella-zoster Virus Encephalomyelitis
title_fullStr Orofacial Dyskinesia and Intractable Hiccups in a Patient with Varicella-zoster Virus Encephalomyelitis
title_full_unstemmed Orofacial Dyskinesia and Intractable Hiccups in a Patient with Varicella-zoster Virus Encephalomyelitis
title_short Orofacial Dyskinesia and Intractable Hiccups in a Patient with Varicella-zoster Virus Encephalomyelitis
title_sort orofacial dyskinesia and intractable hiccups in a patient with varicella-zoster virus encephalomyelitis
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9876721/
https://www.ncbi.nlm.nih.gov/pubmed/35676037
http://dx.doi.org/10.2169/internalmedicine.9334-22
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