Evidence for Vascular Spread of Varicella Zoster–Associated Vasculopathy
Authors: Takeshi Saraya, Chie Shimura, Hiroo Wada, Masahiro Aoshima, Hajime Goto
Journal: Annals of Internal Medicine (2006)

Letters4 April 2006Evidence for Vascular Spread of Varicella Zoster–Associated VasculopathyTakeshi Saraya, MD, Chie Shimura, MD, Hiroo Wada, MD, PhD, Masahiro Aoshima, MD, PhD, and Hajime Goto, MD, PhDTakeshi Saraya, MDFrom Kyorin University School of Medicine, Mitaka City, Tokyo 181-8611, Japan., Chie Shimura, MDFrom Kyorin University School of Medicine, Mitaka City, Tokyo 181-8611, Japan., Hiroo Wada, MD, PhDFrom Kyorin University School of Medicine, Mitaka City, Tokyo 181-8611, Japan., Masahiro Aoshima, MD, PhDFrom Kyorin University School of Medicine, Mitaka City, Tokyo 181-8611, Japan., and Hajime Goto, MD, PhDFrom Kyorin University School of Medicine, Mitaka City, Tokyo 181-8611, Japan.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-144-7-200604040-00022 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:Background: Varicella zoster virus (VZV) infection may provoke life-threatening cerebrovasculopathy. Diagnosis in immunocompromised patients is often complicated because of the possibility of multiple infections (1, 2). We present unique magnetic resonance angiographic images of VZV-associated cerebrovasculopathy in an immunocompromised patient.Case Report: A 36-year-old homosexual man with HIV infection was hospitalized for evaluation of convulsions. He had a vesicular rash on the right knee, redness and itching sensations in the right eye (herpes zoster ophthalmicus), neck stiffness, and a temperature as high as 38 °C. Neurologic examination revealed memory loss and inability to perform simple arithmetic. The ...References1. Kleinschmidt-DeMasters BK, Gilden DH. Varicella-zoster virus infections of the nervous system: clinical and pathologic correlates. Arch Pathol Lab Med. 2001;125:770-80. [PMID: 11371229] CrossrefMedlineGoogle Scholar2. Gilden DH, Lipton HL, Wolf JS, Akenbrandt W, Smith JE, Mahalingam R, et al. Two patients with unusual forms of varicella-zoster virus vasculopathy. N Engl J Med. 2002;347:1500-3. [PMID: 12421892] CrossrefMedlineGoogle Scholar3. Ahmad NM, Boruchoff SE. Multiple cerebral infarcts due to varicella-zoster virus large-vessel vasculopathy in an immunocompetent adult without skin involvement. Clin Infect Dis. 2003;37:16-8. [PMID: 12830433] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From Kyorin University School of Medicine, Mitaka City, Tokyo 181-8611, Japan.Disclosures: None disclosed. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byInflammatory and Infectious Vasculopathies2021 Guideline for the Prevention of Stroke in Patients With Stroke and Transient Ischemic Attack: A Guideline From the American Heart Association/American Stroke AssociationCentral Nervous System Varicella Zoster Virus Vasculopathy in Human Immunodeficiency Virus PatientsDevelopments in Varicella Zoster Virus VasculopathyCollagen Vascular and Infectious DiseasesVaricella-zoster virus vasculopathy. A review description of a new case with multifocal brain hemorrhageCerebral infarction and intracranial aneurysm related to the reactivation of varicella zoster virus in a Japanese acquired immunodeficiency syndrome (AIDS) patientA juvenile case of vertebral dissecting aneurysm associatedwith varicella-zoster virus infectionHIV/AIDS Patients with HIV Vasculopathy and VZV VasculitisHIV-associated Intracranial Aneurysmal Vasculopathy in AdultsGoing viral: fusiform vertebrobasilar and internal carotid aneurysms with varicella angiitis and common variable immunodeficiencyDifficulties in the diagnosis of delayed contralateral hemiparesis due to Varicella-Zoster Virus in an HIV-positive patientGiant basilar artery aneurysm in a child after exposure to chickenpox virusVaricella‐Zoster Virus and Cerebral Aneurysm: Case Report and Review of the LiteratureSuccessful Endovascular Treatment of A Ruptured Mycotic Intracavernous Carotid Artery Aneurysm in an AIDS Patient 4 April 2006Volume 144, Issue 7Page: 535-537KeywordsCerebral arteriesCerebrospinal fluidLesionsMagnetic resonance imagingNervesParalysisPolymerase chain reactionResearch laboratoriesVaricella zoster virus ePublished: 4 April 2006 Issue Published: 4 April 2006 Copyright & PermissionsCopyright © 2006 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...