| An extremely unusual presentation of varicella zoster viral infection of cranial nerves mimicking Garcin syndrome. | |
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MedLine Citation:
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PMID: 16226370 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We report a patient with the varicella zoster viral (VZV) infection of multiple cranial nerves mimicking Garcin syndrome, who initially presented with Ramsay Hunt syndrome (herpes zoster oticus). A 78-year-old man showed left facial palsy with zosteric eruptions in his left auricle and dysphagia, followed by left total ophthalmoplegia. His serum anti-VZV antibody titer was elevated. Cerebrospinal fluid examination revealed pleocytosis with a slightly elevated protein level. He was treated with intravenous acyclovir and corticosteroids. His tongue weakness resolved, and then ocular movement improved. The improvement of facial palsy and swallowing difficulty was delayed. VZV infection should be considered even in patients who show unilateral multiple cranial neuropathy mimicking Garcin syndrome because it is treatable. |
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Authors:
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Kenya Nishioka; Kenji Fujishima; Hirokazu Kobayashi; Yoshikuni Mizuno; Yasuyuki Okuma |
Publication Detail:
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Type: Case Reports; Journal Article Date: 2005-10-13 |
Journal Detail:
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Title: Clinical neurology and neurosurgery Volume: 108 ISSN: 0303-8467 ISO Abbreviation: Clin Neurol Neurosurg Publication Date: 2006 Dec |
Date Detail:
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Created Date: 2006-11-19 Completed Date: 2007-02-12 Revised Date: 2009-10-14 |
Medline Journal Info:
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Nlm Unique ID: 7502039 Medline TA: Clin Neurol Neurosurg Country: Netherlands |
Other Details:
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Languages: eng Pagination: 772-4 Citation Subset: IM |
Affiliation:
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Department of Neurology, Juntendo University Shizuoka Hospital, 1129 Nagaoka, Inzunokuni, Shizuoka 410-2295, Japan. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Acyclovir
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administration & dosage Aged Cranial Nerve Diseases / diagnosis*, drug therapy Deglutition Disorders / diagnosis*, drug therapy Drug Therapy, Combination Facial Paralysis / diagnosis*, drug therapy Follow-Up Studies Herpes Zoster / diagnosis*, drug therapy Herpes Zoster Oticus / diagnosis*, drug therapy Humans Hydrocortisone / administration & dosage Male Methylprednisolone / administration & dosage Neurologic Examination / drug effects Ophthalmoplegia / diagnosis*, drug therapy Prednisolone / administration & dosage Vocal Cord Paralysis / diagnosis*, drug therapy |
| Chemical | |
Reg. No./Substance:
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50-23-7/Hydrocortisone; 50-24-8/Prednisolone; 59277-89-3/Acyclovir; 83-43-2/Methylprednisolone |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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