Orofacial Dyskinesia and Intractable Hiccups in a Patient with Varicella-zoster Virus Encephalomyelitis.


Journal

Internal medicine (Tokyo, Japan)
ISSN: 1349-7235
Titre abrégé: Intern Med
Pays: Japan
ID NLM: 9204241

Informations de publication

Date de publication:
01 Jan 2023
Historique:
pubmed: 9 6 2022
medline: 6 1 2023
entrez: 8 6 2022
Statut: ppublish

Résumé

A 73-year-old Japanese man with diabetic complications presented with involuntary lip movements and long-lasting hiccups after developing zoster rash. Magnetic resonance imaging revealed lesions involving the medial temporal lobe and C1 level of the spinal cord. Varicella-zoster virus (VZV) encephalomyelitis was diagnosed. We considered attributing the orofacial dyskinesia, a very rare symptom of VZV central nervous system (CNS) complications, to the temporal lobe lesion. Although the culprit lesion for the hiccups was unclear, further examinations may have clarified this issue. As immunocompromised patients with herpes zoster may develop CNS complications with a wide variety of symptoms, special care is needed.

Identifiants

pubmed: 35676037
doi: 10.2169/internalmedicine.9334-22
pmc: PMC9876721
doi:

Types de publication

Case Reports Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

119-122

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Auteurs

Akito Funatsu (A)

Center for Clinical Education and Training, Takamatsu Red Cross Hospital, Japan.

Yohei Yamamoto (Y)

Department of Neurology, Takamatsu Red Cross Hospital, Japan.

Midori Araki (M)

Department of Neurology, Takamatsu Red Cross Hospital, Japan.

Fumitoshi Aga (F)

Department of Radiology, Takamatsu Red Cross Hospital, Japan.

Hideki Mine (H)

Department of Neurology, Takamatsu Red Cross Hospital, Japan.

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