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An extremely unusual presentation of varicella zoster viral infection of cranial nerves mimicking Garcin syndrome.

Abstract：

: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.

journal_name

Clin Neurol Neurosurg

journal_title

Clinical neurology and neurosurgery

authors

Nishioka K,Fujishima K,Kobayashi H,Mizuno Y,Okuma Y

doi

10.1016/j.clineuro.2005.09.002

keywords:

subject

Has Abstract

pub_date

2006-12-01 00:00:00

pages

772-4

issue

8

eissn

0303-8467

issn

1872-6968

pii

S0303-8467(05)00152-6

journal_volume

108

pub_type

杂志文章

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