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Herpes zoster myelitis: MR appearance.

¹Department of Radiology, Jefferson Medical College, Philadelphia, PA.

AJNR. American Journal of Neuroradiology

|September 1, 1992

Summary

Herpes zoster, a viral infection, can lead to cervical myelitis, causing inflammation in the spinal cord. Magnetic resonance imaging (MRI) revealed spinal cord abnormalities in a patient with this rare complication.

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Area of Science:

Neurology
Infectious Diseases
Radiology

Background:

Cutaneous herpes zoster, commonly known as shingles, is caused by the varicella-zoster virus reactivation.
Cervical myelitis is an inflammatory condition affecting the spinal cord in the neck region.

Observation:

A case study details a 71-year-old woman presenting with cutaneous cervical herpes zoster.
The patient subsequently developed cervical myelitis, a serious neurological complication.

Findings:

Magnetic resonance imaging (MRI) of the cervical spine revealed key diagnostic indicators.
T2-weighted MRI sequences showed two distinct focal areas of hyperintensity within the cervical cord.
These findings suggested mild cord enlargement at the C2-C3 and C7 vertebral levels.

Implications:

This case highlights the potential for herpes zoster to cause myelitis, emphasizing the importance of neurological monitoring in affected patients.
Advanced imaging like MRI is crucial for diagnosing and characterizing spinal cord involvement in such cases.
Understanding these complications aids in timely diagnosis and management of neurological sequelae from viral infections.

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