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• Vol.62 No.12
• CLINICA NEUROL, 62: 935−939, 2022
• Vol.62 No.12 contents

Case Report

Varicella zoster virus associated-polyradiculoneuritis in an elderly woman: A new subtype of varicella zoster virus neuropathy

Noriyuki Koga, M.D.¹⁾²⁾, Hiroshi Shoji, M.D.^3)* , Tomonaga Matsushita, M.D.¹⁾, Yoshihisa Fukushima, M.D.¹⁾, Kenji Fukuda, M.D.¹⁾ and Shuichi Oguri, M.D.⁴⁾⁵⁾

^＊Corresponding author: Division of Neurology, St. Mary's Hospital [422 Tsubukuhonmachi, Kurume, Fukuoka 830-8543, Japan]
¹⁾ Division of Cerebrovascular Medicine, St. Mary's Hospital
²⁾ Present address; Kokura Memorial Hospital
³⁾ Division of Neurology, St. Mary's Hospital
⁴⁾ Division of Radiology, St. Mary's Hospital
⁵⁾ Department of Radiology, Fukuoka Sanno Hospital

An 82-year-old Japanese woman without underlying disease was admitted to our hospital 3 days after she noticed lower-limb weakness. At presentation, she had lower-leg motor paralysis with mild upper-limb paresis and left Ramsay Hunt syndrome. Cerebrospinal fluid (CSF) findings revealed moderate pleocytosis. A polymerase chain reaction for varicella zoster virus (VZV) DNA in CSF was positive. MRI using 3D Nerve-VIEW (Philips) and contrast T₁ images showed high-intensity lesions on the L2-5 and S1-2 spinal roots. A new subtype of VZV-associated polyradiculoneuritis was diagnosed in this patient. We provide the case details and compare three similar reported cases.
Full Text of this Article in Japanese PDF (1184K)

(CLINICA NEUROL, 62: 935−939, 2022)
key words: herpes zoster, varicella zoster virus, polyradiculoneuritis, Ramsay Hunt syndrome, meningitis

(Received: 14-Jul-22)