A case of Vernet syndrome with varicella zoster virus infection
Abstract A 40-year-old man was admitted to our department, because of sudden onset of dysphagia, hoarseness, left neck pain and headache. There were no skin lesions. On neurological examination, there were paralysis of the left soft palate and constrictor muscles of the pharynx, weakness of the left...
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| Veröffentlicht in: | Journal of the neurological sciences 2008-07, Vol.270 (1), p.209-210 |
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| creator | Kawabe, Kiyokazu Sekine, Tokinori Murata, Kiyoko Sato, Ryuta Aoyagi, Joe Kawase, Yuji Ogura, Naoko Kiyozuka, Tetuhito Igarashi, Osamu Iguchi, Hiroaki Fujioka, Toshiki Iwasaki, Yasuo |
| description | Abstract A 40-year-old man was admitted to our department, because of sudden onset of dysphagia, hoarseness, left neck pain and headache. There were no skin lesions. On neurological examination, there were paralysis of the left soft palate and constrictor muscles of the pharynx, weakness of the left sternocleidomastoid and left upper trapezius. In cerebrospinal fluid (CSF) examination, cell count and protein concentration were elevated. Antibody titer to varicella zoster virus (VZV) was elevated in both the serum and CSF. And VZV-DNA was detected by PCR from CSF. Gd enhanced MRI showed the nodular lesion at the left jugular foramen. The diagnosis of Vernet's syndrome (VS) associated with VZV infection was made. The patient's symptoms were immediately improved with 30 mg of prednisone and 3 g of varaciclovir daily for 14 days. Only a few cases of VS due to VZV have been reported previously. Our case is the first case that detected VZV-DNA in CSF by PCR. |
| doi_str_mv | 10.1016/j.jns.2008.03.005 |
| format | Article |
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There were no skin lesions. On neurological examination, there were paralysis of the left soft palate and constrictor muscles of the pharynx, weakness of the left sternocleidomastoid and left upper trapezius. In cerebrospinal fluid (CSF) examination, cell count and protein concentration were elevated. Antibody titer to varicella zoster virus (VZV) was elevated in both the serum and CSF. And VZV-DNA was detected by PCR from CSF. Gd enhanced MRI showed the nodular lesion at the left jugular foramen. The diagnosis of Vernet's syndrome (VS) associated with VZV infection was made. The patient's symptoms were immediately improved with 30 mg of prednisone and 3 g of varaciclovir daily for 14 days. Only a few cases of VS due to VZV have been reported previously. Our case is the first case that detected VZV-DNA in CSF by PCR.</description><identifier>ISSN: 0022-510X</identifier><identifier>EISSN: 1878-5883</identifier><identifier>DOI: 10.1016/j.jns.2008.03.005</identifier><identifier>PMID: 18456282</identifier><language>eng</language><publisher>Netherlands: Elsevier B.V</publisher><subject>Adult ; Antibodies - blood ; Antibodies - cerebrospinal fluid ; Encephalitis, Varicella Zoster - complications ; Encephalitis, Varicella Zoster - metabolism ; Encephalitis, Varicella Zoster - pathology ; Glossopharyngeal Nerve Diseases - etiology ; Glossopharyngeal Nerve Diseases - metabolism ; Glossopharyngeal Nerve Diseases - pathology ; Glossopharyngeal Nerve Diseases - virology ; Herpesvirus 3, Human - immunology ; Humans ; Jugular foramen ; Magnetic Resonance Imaging ; Male ; MRI ; Neurology ; PCR ; Vagus Nerve Diseases - etiology ; Vagus Nerve Diseases - metabolism ; Vagus Nerve Diseases - pathology ; Vagus Nerve Diseases - virology ; Varicella zoster virus ; Vernet syndrome</subject><ispartof>Journal of the neurological sciences, 2008-07, Vol.270 (1), p.209-210</ispartof><rights>Elsevier B.V.</rights><rights>2008 Elsevier B.V.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c406t-10d9406d798faa7f910848bc8fd41645149ad06077fc1a0c59f156585b75bf63</citedby><cites>FETCH-LOGICAL-c406t-10d9406d798faa7f910848bc8fd41645149ad06077fc1a0c59f156585b75bf63</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0022510X08001408$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18456282$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kawabe, Kiyokazu</creatorcontrib><creatorcontrib>Sekine, Tokinori</creatorcontrib><creatorcontrib>Murata, Kiyoko</creatorcontrib><creatorcontrib>Sato, Ryuta</creatorcontrib><creatorcontrib>Aoyagi, Joe</creatorcontrib><creatorcontrib>Kawase, Yuji</creatorcontrib><creatorcontrib>Ogura, Naoko</creatorcontrib><creatorcontrib>Kiyozuka, Tetuhito</creatorcontrib><creatorcontrib>Igarashi, Osamu</creatorcontrib><creatorcontrib>Iguchi, Hiroaki</creatorcontrib><creatorcontrib>Fujioka, Toshiki</creatorcontrib><creatorcontrib>Iwasaki, Yasuo</creatorcontrib><title>A case of Vernet syndrome with varicella zoster virus infection</title><title>Journal of the neurological sciences</title><addtitle>J Neurol Sci</addtitle><description>Abstract A 40-year-old man was admitted to our department, because of sudden onset of dysphagia, hoarseness, left neck pain and headache. There were no skin lesions. On neurological examination, there were paralysis of the left soft palate and constrictor muscles of the pharynx, weakness of the left sternocleidomastoid and left upper trapezius. In cerebrospinal fluid (CSF) examination, cell count and protein concentration were elevated. Antibody titer to varicella zoster virus (VZV) was elevated in both the serum and CSF. And VZV-DNA was detected by PCR from CSF. Gd enhanced MRI showed the nodular lesion at the left jugular foramen. The diagnosis of Vernet's syndrome (VS) associated with VZV infection was made. The patient's symptoms were immediately improved with 30 mg of prednisone and 3 g of varaciclovir daily for 14 days. Only a few cases of VS due to VZV have been reported previously. Our case is the first case that detected VZV-DNA in CSF by PCR.</description><subject>Adult</subject><subject>Antibodies - blood</subject><subject>Antibodies - cerebrospinal fluid</subject><subject>Encephalitis, Varicella Zoster - complications</subject><subject>Encephalitis, Varicella Zoster - metabolism</subject><subject>Encephalitis, Varicella Zoster - pathology</subject><subject>Glossopharyngeal Nerve Diseases - etiology</subject><subject>Glossopharyngeal Nerve Diseases - metabolism</subject><subject>Glossopharyngeal Nerve Diseases - pathology</subject><subject>Glossopharyngeal Nerve Diseases - virology</subject><subject>Herpesvirus 3, Human - immunology</subject><subject>Humans</subject><subject>Jugular foramen</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>MRI</subject><subject>Neurology</subject><subject>PCR</subject><subject>Vagus Nerve Diseases - etiology</subject><subject>Vagus Nerve Diseases - metabolism</subject><subject>Vagus Nerve Diseases - pathology</subject><subject>Vagus Nerve Diseases - virology</subject><subject>Varicella zoster virus</subject><subject>Vernet syndrome</subject><issn>0022-510X</issn><issn>1878-5883</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU9r3DAQxUVoaLZJP0AuRafe7M7YlixTaAmh_yDQQ0LITWjlEZXrlVLJ3rL99PVmFwo95DRzeO8x83uMXSKUCCjfDeUQclkBqBLqEkCcsBWqVhVCqfoFWwFUVSEQHs7Yq5wHAJBKdS_ZGapGyEpVK_bxiluTiUfH7ykFmnjehT7FDfHffvrBtyZ5S-No-J-YJ0p869OcuQ-O7ORjuGCnzoyZXh_nObv7_Onu-mtx8_3Lt-urm8I2IKcCoe-WpW875YxpXYegGrW2yvUNykZg05keJLSts2jAis6hkEKJdSvWTtbn7O0h9jHFXzPlSW98frorUJyzblFKqEEsQjwIbYo5J3L6MfmNSTuNoPfQ9KAXaHoPTUOt4cnz5hg-rzfU_3McKS2C9wcBLR9uPSWdradgqfdpwaD76J-N__Cf244-eGvGn7SjPMQ5hQWdRp0rDfp239q-NFAA2ICq_wKG4JDe</recordid><startdate>20080715</startdate><enddate>20080715</enddate><creator>Kawabe, Kiyokazu</creator><creator>Sekine, Tokinori</creator><creator>Murata, Kiyoko</creator><creator>Sato, Ryuta</creator><creator>Aoyagi, Joe</creator><creator>Kawase, Yuji</creator><creator>Ogura, Naoko</creator><creator>Kiyozuka, Tetuhito</creator><creator>Igarashi, Osamu</creator><creator>Iguchi, Hiroaki</creator><creator>Fujioka, Toshiki</creator><creator>Iwasaki, Yasuo</creator><general>Elsevier B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20080715</creationdate><title>A case of Vernet syndrome with varicella zoster virus infection</title><author>Kawabe, Kiyokazu ; Sekine, Tokinori ; Murata, Kiyoko ; Sato, Ryuta ; Aoyagi, Joe ; Kawase, Yuji ; Ogura, Naoko ; Kiyozuka, Tetuhito ; Igarashi, Osamu ; Iguchi, Hiroaki ; Fujioka, Toshiki ; Iwasaki, Yasuo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c406t-10d9406d798faa7f910848bc8fd41645149ad06077fc1a0c59f156585b75bf63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Adult</topic><topic>Antibodies - blood</topic><topic>Antibodies - cerebrospinal fluid</topic><topic>Encephalitis, Varicella Zoster - complications</topic><topic>Encephalitis, Varicella Zoster - metabolism</topic><topic>Encephalitis, Varicella Zoster - pathology</topic><topic>Glossopharyngeal Nerve Diseases - etiology</topic><topic>Glossopharyngeal Nerve Diseases - metabolism</topic><topic>Glossopharyngeal Nerve Diseases - pathology</topic><topic>Glossopharyngeal Nerve Diseases - virology</topic><topic>Herpesvirus 3, Human - immunology</topic><topic>Humans</topic><topic>Jugular foramen</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>MRI</topic><topic>Neurology</topic><topic>PCR</topic><topic>Vagus Nerve Diseases - etiology</topic><topic>Vagus Nerve Diseases - metabolism</topic><topic>Vagus Nerve Diseases - pathology</topic><topic>Vagus Nerve Diseases - virology</topic><topic>Varicella zoster virus</topic><topic>Vernet syndrome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kawabe, Kiyokazu</creatorcontrib><creatorcontrib>Sekine, Tokinori</creatorcontrib><creatorcontrib>Murata, Kiyoko</creatorcontrib><creatorcontrib>Sato, Ryuta</creatorcontrib><creatorcontrib>Aoyagi, Joe</creatorcontrib><creatorcontrib>Kawase, Yuji</creatorcontrib><creatorcontrib>Ogura, Naoko</creatorcontrib><creatorcontrib>Kiyozuka, Tetuhito</creatorcontrib><creatorcontrib>Igarashi, Osamu</creatorcontrib><creatorcontrib>Iguchi, Hiroaki</creatorcontrib><creatorcontrib>Fujioka, Toshiki</creatorcontrib><creatorcontrib>Iwasaki, Yasuo</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of the neurological sciences</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kawabe, Kiyokazu</au><au>Sekine, Tokinori</au><au>Murata, Kiyoko</au><au>Sato, Ryuta</au><au>Aoyagi, Joe</au><au>Kawase, Yuji</au><au>Ogura, Naoko</au><au>Kiyozuka, Tetuhito</au><au>Igarashi, Osamu</au><au>Iguchi, Hiroaki</au><au>Fujioka, Toshiki</au><au>Iwasaki, Yasuo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A case of Vernet syndrome with varicella zoster virus infection</atitle><jtitle>Journal of the neurological sciences</jtitle><addtitle>J Neurol Sci</addtitle><date>2008-07-15</date><risdate>2008</risdate><volume>270</volume><issue>1</issue><spage>209</spage><epage>210</epage><pages>209-210</pages><issn>0022-510X</issn><eissn>1878-5883</eissn><abstract>Abstract A 40-year-old man was admitted to our department, because of sudden onset of dysphagia, hoarseness, left neck pain and headache. 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| ispartof | Journal of the neurological sciences, 2008-07, Vol.270 (1), p.209-210 |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Adult Antibodies - blood Antibodies - cerebrospinal fluid Encephalitis, Varicella Zoster - complications Encephalitis, Varicella Zoster - metabolism Encephalitis, Varicella Zoster - pathology Glossopharyngeal Nerve Diseases - etiology Glossopharyngeal Nerve Diseases - metabolism Glossopharyngeal Nerve Diseases - pathology Glossopharyngeal Nerve Diseases - virology Herpesvirus 3, Human - immunology Humans Jugular foramen Magnetic Resonance Imaging Male MRI Neurology PCR Vagus Nerve Diseases - etiology Vagus Nerve Diseases - metabolism Vagus Nerve Diseases - pathology Vagus Nerve Diseases - virology Varicella zoster virus Vernet syndrome |
| title | A case of Vernet syndrome with varicella zoster virus infection |
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