A Case of Vernet Syndrome due to Varicella Zoster Virus Infection with Skin Lesion Induced by Cervical Segment Involvement.
- Author:
Moo Yeol HYUN
1
;
Joon Hyuk SUH
;
Kui Young PARK
;
Seong Jun SEO
Author Information
1. Department of Dermatology, Chung-Ang University College of Medicine, Seoul, Korea. drseo@hanafos.com
- Publication Type:Case Report
- Keywords:
Vernet syndrome;
Varicella-zoster virus;
Cervical segment involvement
- MeSH:
Aneurysm;
Brain Neoplasms;
Cerebrospinal Fluid;
Chickenpox*;
Deglutition Disorders;
Diagnosis;
Female;
Glucose;
Headache;
Herpesvirus 3, Human*;
Hoarseness;
Humans;
Laryngoscopy;
Leukocytes;
Magnetic Resonance Imaging;
Middle Aged;
Neck;
Neck Pain;
Palate;
Paralysis;
Skin*
- From:Korean Journal of Dermatology
2016;54(8):646-649
- CountryRepublic of Korea
- Language:English
-
Abstract:
Vernet syndrome associated with varicella zoster virus (VZV) has been rarely reported. The diagnosis is established based on typical symptoms such as dysphagia, hoarseness, and unilateral difficulty in neck movement. Lack of skin lesions is common and makes it harder to consider VZV infection. A 53-year-old woman presented with left neck pain, dysphagia, hoarseness, and headache, with an erythematous vesicle on her neck. Laryngoscopy revealed paralysis of her left-soft palate and left-vocal cord. Upon cerebrospinal fluid (CSF) examination, her white blood cell (WBC) count, protein levels, glucose levels, and VZV antibody titer were elevated; moreover, VZV-DNA was detected. Magnetic resonance imaging (MRI) showed no sign of brain tumor, aneurysm or fracture. The patient was diagnosed with Vernet syndrome associated with VZV infection, having presented with a skin lesion involving the cervical segment.
