scholarly journals Acute cerebellar ataxia followed by delayed peripheral facial palsy associated with elevated serum anti-varicella zoster virus titers

2019 ◽  
Vol 78 (1) ◽  
pp. 30-38
Author(s):  
Jun-Ichi Yokota ◽  
Remi Motegi ◽  
Yoko Yamaguchi
Keyword(s):  
Varicella Zoster Virus ◽  
Cerebellar Ataxia ◽  
Facial Palsy ◽  
Elevated Serum ◽  
Varicella Zoster ◽  
Peripheral Facial Palsy ◽  
Acute Cerebellar Ataxia

An ELISA Study on Varicella-Zoster Virus Infection in Acute Peripheral Facial Palsy

1987 ◽  
Vol 104 (sup446) ◽  
pp. 10-16
Author(s):  
Hiroshi Tomita ◽  
Masami Tanaka ◽  
Nobuo Kukimoto ◽  
Minoru Ikeda
Keyword(s):  
Virus Infection ◽  
Varicella Zoster Virus ◽  
Facial Palsy ◽  
Varicella Zoster Virus Infection ◽  
Varicella Zoster ◽  
Peripheral Facial Palsy

scholarly journals Acute cerebellar ataxia associated with varicella zoster virus encephalitis

2021 ◽  
Author(s):  
Madson Caio dos Santos Dantas ◽  
João Pedro Cardoso Prudêncio
Keyword(s):  
Varicella Zoster Virus ◽  
Cerebellar Ataxia ◽  
Rare Complication ◽  
Skin Lesions ◽  
Pupillary Response ◽  
University Hospital ◽  
Varicella Zoster ◽  
Csf Analysis ◽  
Acute Cerebellar Ataxia ◽  
Vesicular Rash

Context: Varicella-zoster virus (VZV) primary infection causes a diffuse vesicular rash and affects mainly young people. VZV-associated encephalitis is a rare complication since the advent of vaccination, and can present as different neurological syndromes. This report aims to describe a case of acute cerebellar ataxia after VZV-associated encephalitis in a child, admitted to the Onofre Lopes University Hospital (HUOL) in Natal, Brazil. Case report: We present the case of a 9-year-old girl referred to HUOL with polymorphic skin lesions for 8 days. She evolved with headache, vomiting, drowsiness and confusion. Upon admission, she was pale (+/4+), anicteric, confused (GCS=14), hemodynamically stable, SaO2=99%, with pupillary response and no meningism. Laboratory tests showed Hb 11.7g/dl, leukocytes 7,200/mm³ (93% segmented, 1% eosinophils, 5% lymphocytes and 2% monocytes), AST 38U/ml and ALT 46U/ml. Once clinical diagnosis of VZVencephalitis was made, the patient was admitted to the ICU for monitoring and treatment. Cranial CT showed hypodensities on the frontal and occipital lobes; CSF analysis: glucose=76mg/dl, proteins=24mg/dl, leukocytes=9/mm3 (monocytes 78%). She improved progressively and was transferred to the ward, evolving with ataxia, suggesting cerebellitis. Conclusions: This case describes a chickenpox rare complication nowadays: encephalitis. Along evolution, the patient presented acute cerebellar ataxia, a more prevalent condition in children, usually having a limited course.

scholarly journals Acute Peripheral Facial Palsy after Chickenpox: A Rare Association

2014 ◽  
Vol 2014 ◽  
pp. 1-3
Author(s):  
Helena Ferreira ◽  
Ângela Dias ◽  
Andreia Lopes
Keyword(s):  
Varicella Zoster Virus ◽  
Facial Palsy ◽  
Primary Infection ◽  
Risk Groups ◽  
Good Prognosis ◽  
Neurologic Complication ◽  
Varicella Zoster ◽  
Rare Association ◽  
Peripheral Facial Palsy

Chickenpox, resulting from primary infection by the varicella-zoster virus, is an exanthematous disease very common during childhood and with good prognosis. However, serious complications, namely, neurological syndromes, may develop during its course, especially in risk groups, including adolescents. Peripheral facial palsy is a rare neurologic complication that has been previously described.Conclusion. We report the case of a teenager with peripheral facial palsy as a complication of chickenpox, aiming to increase the awareness of this rare association.

scholarly journals Ramsay Hunt Syndrome associated with central nervous system involvement in an adult: a case report

2015 ◽  
Vol 42 (S1) ◽  
pp. S29-S30
Author(s):  
L Chan ◽  
A Cartagena ◽  
SM Hosseini ◽  
A Bombassaro
Keyword(s):  
Central Nervous System ◽  
Nervous System ◽  
Case Report ◽  
Varicella Zoster Virus ◽  
External Auditory Canal ◽  
Facial Palsy ◽  
Varicella Zoster ◽  
Ramsay Hunt Syndrome ◽  
Hunt Syndrome ◽  
The Central Nervous System

Background: Ramsay Hunt Syndrome with cerebellar encephalitis is rare in adult. Case Report: We describe a 55-year-old diabetic female who presented with truncal ataxia, right peripheral facial palsy and right ear pain associated with erythematous vesicular lesions in her external auditory canal. Later, she developed dysmetria, fluctuating diplopia and dysarthria. No facial lesions were identified and lesions were limited to the external auditory canal. Cerebral spinal fluid tested positive for varicella zoster virus polymerase chain reaction. She was diagnosed with Ramsay Hunt Syndrome with spread to the central nervous system and treated with acyclovir intravenous therapy (10 mg/kg every 8 hours). Her facial palsy completely resolved within 48 hours of acyclovir treatment, however, vesicular lesions, imbalance and cerebellar symptoms remained; a tapering course of high dose prednisone was then added.Discussion: Prognosis for facial palsy is poor in Ramsay Hunt Syndrome: Only 10% of patients will have complete resolution of their facial palsy. Improvement of facial palsy may be a good marker for response to treatment. Conclusion: Varicella zoster virus reactivation affecting the central nervous system in adults is rare. Knowledge of Ramsay Hunt syndrome with brainstem and/or cerebellar involvement is important for diagnosis and for consideration of antiviral and prednisone treatment.

Reactivation of varicella-zoster virus in delayed facial palsy after dental treatment and oro-facial surgery

2000 ◽  
Vol 62 (1) ◽  
pp. 42-45 ◽  
Author(s):  
Yasushi Furuta ◽  
Fumio Ohtani ◽  
Satoshi Fukuda ◽  
Yukio Inuyama ◽  
Kazuo Nagashima
Keyword(s):  
Varicella Zoster Virus ◽  
Facial Palsy ◽  
Dental Treatment ◽  
Varicella Zoster ◽  
Facial Surgery
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