[Ischemic cerebral vascular accident and zoster infection].
Herpes zoster is uncommonly followed by cerebral infarction. The pathophysiological mechanism remains uncertain. Outcome is favorable after early specific treatment. We report the case of a 70-year-old woman who developed right hemiparesis with aphasia 15 days after thoracic herpes zoster. The herpes zoster induced cerebral vasculitis was hypothesized as no other etiology could be identified after detailed assessment of the cerebral infarction including brain MRI and cerebrospinal fluid study, and as the clinical course responded to antiviral therapy.
Rahmeh
F
F
Service de Neurologie, Centre Hospitalier de Belfort.
Labouret
P
P
Attout
H
H
Ziegler
F
F
D000212:Acyclovir / Q000627:therapeutic use; D000368:Aged; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D000998:Antiviral Agents / Q000627:therapeutic use; D001037:Aphasia / Q000209:etiology; D002545:Brain Ischemia / Q000209:etiology*; D002533:Cerebral Angiography; D004359:Drug Therapy, Combination; D005260:Female; D006562:Herpes Zoster / Q000150:complications* / Q000188:drug therapy; D006801:Humans; D008279:Magnetic Resonance Imaging; D008775:Methylprednisolone / Q000627:therapeutic use; D010291:Paresis / Q000209:etiology; D020293:Vasculitis, Central Nervous System / Q000209:etiology*; D014715:Vertebrobasilar Insufficiency / Q000150:complications / Q000000981:diagnostic imaging
D000893:Anti-Inflammatory Agents; D000998:Antiviral Agents; D000212:Acyclovir; D008775:Methylprednisolone