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[Recurrent multifocal lesions of the nervous system after herpes zoster]
Abstract:
The authors report a case of zoster with signs of transverse myelitis and peripheral involvement of the facial nerve. The fact that tranverse myelitis developed late after zoster and was followed by facial nerve palsy is stressed. The involvement of these nervous structures occurred in a way suggesting exacerbations. In the light of literature data and the described case the authors state that zoster with complications in the form of multifocal nervous system involvement occurring at different time intervals is infrequent.
Insights
This case study highlights a rare instance of zoster (shingles) causing multifocal nervous system involvement, including late-onset transverse myelitis and facial nerve palsy, suggesting exacerbations.
Area of Science:
- Neurology
- Infectious Diseases
- Virology
Background:
- Herpes zoster, commonly known as shingles, is caused by the varicella-zoster virus reactivation.
- Neurological complications of zoster can occur but multifocal involvement is infrequent.
Observation:
- A patient presented with zoster (shingles) followed by transverse myelitis and subsequent peripheral facial nerve palsy.
- The neurological manifestations appeared sequentially, with transverse myelitis developing late after the initial zoster outbreak.
Findings:
- The case demonstrates a rare pattern of nervous system involvement in zoster, characterized by sequential exacerbations affecting both the spinal cord (transverse myelitis) and cranial nerves (facial nerve palsy).
- This presentation is unusual, as multifocal neurological complications of zoster typically occur at different time intervals and are infrequently reported.
Implications:
- This case underscores the potential for diverse and delayed neurological sequelae following herpes zoster infection.
- Understanding such infrequent presentations is crucial for accurate diagnosis and management of complex neurological disorders potentially linked to viral reactivation.