The Korean Journal of Pain

The Korean Pain Society (대한통증학회)
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Encephalitis and Motor Paresis Caused by Herpes Zoster -A case report-

대상포진에 의한 뇌염 및 운동신경 마비 -증례 보고-

  • Heo, Hu Man (Department of Pain Medicine, Sanbon Hospital, Wonkwang University) ;
  • Lee, Kang Chang (Department of Pain Medicine, Sanbon Hospital, Wonkwang University) ;
  • Yang, Hyun Duck (Department of Neurology, Sanbon Hospital, Wonkwang University) ;
  • Lee, Sung Ik (Department of Neurology, Sanbon Hospital, Wonkwang University)
  • 허후만 (원광대학교 산본병원 마취통증의학과) ;
  • 이강창 (원광대학교 산본병원 마취통증의학과) ;
  • 양현덕 (원광대학교 산본병원 신경과학교실) ;
  • 이성익 (원광대학교 산본병원 신경과학교실)
  • Received : 2005.03.25
  • Accepted : 2005.06.10
  • Published : 2005.06.30
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Abstract

Encephalitis is known as a rare complication of varicella zoster virus (VZV) reactivation. It is usually regarded as a complication of a cutaneous infection in patients with impaired cellular immunity. The reported incidence of herpetic motor involvement range between 0.5 and 31%, but is possibly more frequent as the weakness is readily obscured by pain. A 53-years-old woman, who presented with severe shoulder pain, fever, headache and seizure, which developed the day after skin eruptions, also developed motor paresis 7 days after the seizure. Her cerebrospinal fluid (CSF) was VZV-Polymerase chain reaction (PCR) negative, but VZV specific IgG antibody positive, and her brain MRI was found to be normal. With the early diagnosis and proper treatment, such as intravenous administration of acyclovir, stellate ganglion block and Yamamoto New Scalp Stimulation (YNSS), the patient completely recovered, without psychoneurological sequelae. Herein, we present this case, with a discussion of the relevant literature on the incidence, pathophysiology, diagnosis and management of central nervous system VZV involvement.

Keywords

References

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