급성 대상포진에 의한 뇌염, 수막신경근염 및 가성장폐쇄를 보인 1예 = A Case of Encephalitis, Meningoradiculitis and Intestinal Pseudo-Obstruction Caused by Varicella-Zoster Virus

다국어 초록 (Multilingual Abstract)

A 19-year-old woman developed painful abdominal distension, headache and mental deterioration. Several days later, she complained of paraparesis, urinary incontinence and diuresis. Intestinal pseudo-obstruction was detected by a laparoscopic examination. Brain MRI showed encephalitis with?a high signal intensity of the corpus callosum on diffusion-weighted images. In serum and CSF, the varicella-zoster virus (VZV) IgM antibody was positive. After treatment with steroids and acyclovir, her symptoms improved. We report a patient with intestinal pseudo-obstruction, encephalitis and meningoradiculitis caused by VZV without skin lesions.

참고문헌 (Reference)

1 "Varicella-Zoster virus infection on the nervous system:clinical and pathologic correlates" 125 : 770-780, 2001

2 "The value of cerebrospinal fluid antiviral antibody in the diagnosis of neurologic disease produced by varicella zoster virus" 159 : 140-144, 1998

3 "Presence,distribution and spread of productive varicellar zoster virus infection in nervous tissues" 115 : 383-398, 1992

4 "Neurobiology of human herpesvirus infections" 2 : 61-123, 1986

5 "Herpes zoster myelitis.Evidence for viral invasion of spinal cord" 29 : 309-313, 1973

6 "Fatal varicella-zoster virus meningoradiculitis without skin involvement" 29 : 569-572, 1991

7 "Demonstration of varicellar-zoster virus infection in the muscularis propria and myenteric plexi of the colon in an HIV-positive patient with herpes zoster and small bowel pseudo-obstruction(Ogilve's syndrome)" 96 : 1627-1630, 2001

8 "Contralateral abducens palsy in a case of zoster polyradiculitis" 23 : 121-123, 2005

9 "Clinically mild encephalitis/encephalopathy with a reversible splenial lesion" 63 : 1854-1858, 2004

10 "Acute,chronic,and recurrent varicella zoster virus neuropathy without zoster rash" 57 : 351-354, 2001