Magnetic Resonance Imaging Evidence of Varicella Zoster Virus Polyneuropathy: Involvement of the Glossopharyngeal and Vagus Nerves Associated With Ramsay Hunt Syndrome
Magnetic Resonance Imaging Evidence of Varicella Zoster Virus Polyneuropathy: Involvement of the Glossopharyngeal and Vagus Nerves Associated With Ramsay Hunt Syndrome
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DOI：
10.1097/scs.0000000000002583
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发表时间：
2016-05-01
影响因子：
0.9
通讯作者：
Incesu, Lutfi
中科院分区：
文献类型：
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作者：
Gunbey, Hediye Pinar;Kutlar, Gokhan;Incesu, Lutfi
在由水痘带状疱疹病毒(VZV)引起的Ramsay Hunt综合征中，下颅神经瘫痪的发生率较低。作者报告了1例极罕见的经放射学证实的VZV感染的多发性神经病，其磁共振成像表现为VII、IX和X脑神经受累，患者为62岁的女性患者，最初以Ramsay Hunt综合征为首发症状。水痘带状疱疹病毒感染应被考虑，即使在患者表现为单侧下颅神经麻痹并伴有喉部瘫痪。薄层T2W和T1W图像应添加造影剂，以显示微妙的受累。
The involvement of lower cranial nerve palsies is less frequent in Ramsay Hunt syndrome caused by varicella zoster virus (VZV). The authors report 1 of extremely rare patients of radiologically proven polyneuropathy of VZV infection with magnetic resonance imaging findings of VII, IX, and X cranial nerve involvement is a 62-year-old female patient, who initially presented with Ramsay Hunt syndrome. Varicella zoster virus infection should be considered even in patients who show unilateral palsy of the lower cranial nerves associated with laryngeal paralysis. Thin-section T2W and T1W images with a contrast agent should be added to the imaging protocol to show the subtle involvement.