Varicella-zoster virus reactivation from multiple ganglia: a case report.

Journal of Medical Case Reports
Mazyar HashemilarHossein Keyvani

Abstract

Simultaneous involvements of multiple cranial nerve ganglia (geniculate ganglion and peripheral ganglia of cranial nerves VIII, IX and X) by varicella-zoster virus and its subsequent activation may result in the characteristic eruptions of herpes zoster cephalicus. Coexistence of facial palsy and involvement of upper cervical dermatomes by varicella-zoster virus is quite rare. Here, we report a 71-year-old Iranian man with involvement of multiple sensory ganglia (geniculate ganglion and upper dorsal root ganglia) by varicella-zoster virus. He presented with right-sided facial weakness along with vesicular eruptions on the right side of his neck, and second and third cervical dermatomes. The present case is an example of herpes zoster cephalicus with cervical nerve involvement. Although resembling Ramsay Hunt syndrome with presence of facial nerve paralysis and accompanying vesicles, involvement of cervical dermatomes is not a feature of the classic Ramsay Hunt syndrome.

References

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Citations

Feb 2, 2010·Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology·Kamyar GhabiliAaron A Cohen-Gadol
Apr 25, 2013·The Korean Journal of Pain·Keon Jung YoonJi Hye Choi
Jul 23, 2013·Annals of Rehabilitation Medicine·Yil Ryun JoHye Jeong Park

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Methods Mentioned

BETA
ELISA
enzyme-linked immunosorbent assay
PCR

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