Herpes zoster meningoencephalitis with decreased CSF glucose level-A case report and review of literatures.
- Author:
Byung Cheol CHOI
1
;
Won Heu CHUNG
;
Jung Whan KIM
;
Keun Ho CHUNG
;
Phil Za CHO
;
Hoon KANG
;
Sook Ja SON
Author Information
1. Dept of Neurology, National Medical Center.
- Publication Type:Original Article
- MeSH:
Cerebrospinal Fluid;
Encephalitis, Varicella Zoster*;
Glucose*;
Herpes Zoster*;
Humans;
Meningoencephalitis;
Nervous System;
Tuberculosis, Meningeal
- From:Journal of the Korean Neurological Association
1997;15(5):1173-1183
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We report a case of decreased cerebrospinal fluid glucose with lymphocytic pleocytoisis in a patient with herpes zoster meningoencephalitis. The finding was likely to be confused with that of tuberculous meningoencephalitis. The concentration of CSF glucose is a critical point in the differential diagosis of various causes of nervous system infection. Although the herpes zoster meningoencephalitis isa well recognized, cases with markedly low, level of CSF glucose has been rare. We reviewed such unusual cases in the literature that were accompanied by hypoglycorrhachia. The duration of hypoglycorrhachia was transient. This suggests a differential point from that of tuberculous meningitis.
