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Recurrent herpes zoster myelitis

J S Baik1, W C Kim, J H Heo

  • 1Department of Neurology, Yonsei University College of Medicine.

Journal of Korean Medical Science
|August 1, 1997
PubMed
Summary

Recurrent zoster myelitis, a rare condition, can cause repeated spinal cord inflammation following herpes zoster. This case highlights varicella zoster virus as a potential cause, with successful treatment using intravenous acyclovir.

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Area of Science:

  • Neurology
  • Infectious Diseases
  • Virology

Background:

  • Recurrent zoster myelitis is an uncommon neurological complication.
  • Herpes zoster, caused by the varicella zoster virus, typically presents with characteristic skin rashes.

Observation:

  • A previously healthy 27-year-old woman experienced recurrent myelopathy episodes.
  • These episodes occurred shortly after the onset of herpes zoster skin rashes.
  • Spinal cord lesions on MRI correlated with the location of skin lesions.

Findings:

  • The patient had two distinct myelitic attacks at the same spinal cord level.
  • Complete recovery was achieved with intravenous acyclovir treatment.
  • Direct invasion by varicella zoster virus is suspected as the cause.

Implications:

  • This case suggests varicella zoster virus can cause recurrent myelopathy.
  • Prompt diagnosis and antiviral treatment are crucial for managing zoster myelitis.
  • Further research into the mechanisms of recurrent zoster myelitis is warranted.

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