Herpes zoster involving lower cranial nerves; a report of 2 cases

Kunio Mizutari, Hideyuki Saito, Hiroyuki Ozawa

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

We report two cases of cranial nerve palsy due to varicella-zoster virus infection. One patient, a 53-year-old woman, was admitted to our hospital complaining of a sore throat, right otalgia and painful vesicle on the right auricle. Herpetic vesicles were present on the right soft palate and arytenoid. She also reported loss of hearing in the right ear but there was no facial palsy. The serum antibody titer for herpes zoster was significantly elevated, and the cerebrospinal fluid showed pleocytosis. She was diagnosed as having herpes zoster involving the vestibulocochlear nerve and glossopharyngeal nerve. She was treated with intravenous acyclovir and satellite ganglion block. She did not have any residual signs. The other patient, a 44-year-old woman, complained of a sore throat, hoarseness and difficulty in swallowing. She had no skin rash, but there was a single vesicle on the left arytenoid. Physical examination revealed poor elevation of soft palate on the left side, but gag reflex was preserved. The serum antibody titer for herpes zoster was significantly elevated. She was diagnosed as having herpes zoster involving vagus nerve. She was treated with intravenous acyclovir for 7 days. She did not have any residual sign. In cases of unilateral cranial nerve palsy with pain, herpes zoster should be considered, and serum antibody titer for herpes zoster should be evaluated.

Original languageEnglish
Pages (from-to)889-892
Number of pages4
JournalPractica Oto-Rhino-Laryngologica
Volume95
Issue number9
Publication statusPublished - 2002
Externally publishedYes

Fingerprint

Cranial Nerves
Herpes Zoster
Cranial Nerve Diseases
Soft Palate
Acyclovir
Pharyngitis
Antibodies
Serum
Vestibulocochlear Nerve
Earache
Glossopharyngeal Nerve
Hoarseness
Human Herpesvirus 3
Vagus Nerve
Facial Paralysis
Leukocytosis
Virus Diseases
Deglutition
Exanthema
Hearing Loss

Keywords

  • Glossopharyngeal nerve
  • Vagus nerve
  • Varicella-zoster virus
  • Vestibulocochlear nerve

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Herpes zoster involving lower cranial nerves; a report of 2 cases. / Mizutari, Kunio; Saito, Hideyuki; Ozawa, Hiroyuki.

In: Practica Oto-Rhino-Laryngologica, Vol. 95, No. 9, 2002, p. 889-892.

Research output: Contribution to journalArticle

Mizutari, Kunio ; Saito, Hideyuki ; Ozawa, Hiroyuki. / Herpes zoster involving lower cranial nerves; a report of 2 cases. In: Practica Oto-Rhino-Laryngologica. 2002 ; Vol. 95, No. 9. pp. 889-892.
@article{698707eab7be466e876102f04b68a480,
title = "Herpes zoster involving lower cranial nerves; a report of 2 cases",
abstract = "We report two cases of cranial nerve palsy due to varicella-zoster virus infection. One patient, a 53-year-old woman, was admitted to our hospital complaining of a sore throat, right otalgia and painful vesicle on the right auricle. Herpetic vesicles were present on the right soft palate and arytenoid. She also reported loss of hearing in the right ear but there was no facial palsy. The serum antibody titer for herpes zoster was significantly elevated, and the cerebrospinal fluid showed pleocytosis. She was diagnosed as having herpes zoster involving the vestibulocochlear nerve and glossopharyngeal nerve. She was treated with intravenous acyclovir and satellite ganglion block. She did not have any residual signs. The other patient, a 44-year-old woman, complained of a sore throat, hoarseness and difficulty in swallowing. She had no skin rash, but there was a single vesicle on the left arytenoid. Physical examination revealed poor elevation of soft palate on the left side, but gag reflex was preserved. The serum antibody titer for herpes zoster was significantly elevated. She was diagnosed as having herpes zoster involving vagus nerve. She was treated with intravenous acyclovir for 7 days. She did not have any residual sign. In cases of unilateral cranial nerve palsy with pain, herpes zoster should be considered, and serum antibody titer for herpes zoster should be evaluated.",
keywords = "Glossopharyngeal nerve, Vagus nerve, Varicella-zoster virus, Vestibulocochlear nerve",
author = "Kunio Mizutari and Hideyuki Saito and Hiroyuki Ozawa",
year = "2002",
language = "English",
volume = "95",
pages = "889--892",
journal = "Practica Oto-Rhino-Laryngologica",
issn = "0032-6313",
publisher = "Society of Practical Otolaryngology",
number = "9",

}

TY - JOUR

T1 - Herpes zoster involving lower cranial nerves; a report of 2 cases

AU - Mizutari, Kunio

AU - Saito, Hideyuki

AU - Ozawa, Hiroyuki

PY - 2002

Y1 - 2002

N2 - We report two cases of cranial nerve palsy due to varicella-zoster virus infection. One patient, a 53-year-old woman, was admitted to our hospital complaining of a sore throat, right otalgia and painful vesicle on the right auricle. Herpetic vesicles were present on the right soft palate and arytenoid. She also reported loss of hearing in the right ear but there was no facial palsy. The serum antibody titer for herpes zoster was significantly elevated, and the cerebrospinal fluid showed pleocytosis. She was diagnosed as having herpes zoster involving the vestibulocochlear nerve and glossopharyngeal nerve. She was treated with intravenous acyclovir and satellite ganglion block. She did not have any residual signs. The other patient, a 44-year-old woman, complained of a sore throat, hoarseness and difficulty in swallowing. She had no skin rash, but there was a single vesicle on the left arytenoid. Physical examination revealed poor elevation of soft palate on the left side, but gag reflex was preserved. The serum antibody titer for herpes zoster was significantly elevated. She was diagnosed as having herpes zoster involving vagus nerve. She was treated with intravenous acyclovir for 7 days. She did not have any residual sign. In cases of unilateral cranial nerve palsy with pain, herpes zoster should be considered, and serum antibody titer for herpes zoster should be evaluated.

AB - We report two cases of cranial nerve palsy due to varicella-zoster virus infection. One patient, a 53-year-old woman, was admitted to our hospital complaining of a sore throat, right otalgia and painful vesicle on the right auricle. Herpetic vesicles were present on the right soft palate and arytenoid. She also reported loss of hearing in the right ear but there was no facial palsy. The serum antibody titer for herpes zoster was significantly elevated, and the cerebrospinal fluid showed pleocytosis. She was diagnosed as having herpes zoster involving the vestibulocochlear nerve and glossopharyngeal nerve. She was treated with intravenous acyclovir and satellite ganglion block. She did not have any residual signs. The other patient, a 44-year-old woman, complained of a sore throat, hoarseness and difficulty in swallowing. She had no skin rash, but there was a single vesicle on the left arytenoid. Physical examination revealed poor elevation of soft palate on the left side, but gag reflex was preserved. The serum antibody titer for herpes zoster was significantly elevated. She was diagnosed as having herpes zoster involving vagus nerve. She was treated with intravenous acyclovir for 7 days. She did not have any residual sign. In cases of unilateral cranial nerve palsy with pain, herpes zoster should be considered, and serum antibody titer for herpes zoster should be evaluated.

KW - Glossopharyngeal nerve

KW - Vagus nerve

KW - Varicella-zoster virus

KW - Vestibulocochlear nerve

UR - http://www.scopus.com/inward/record.url?scp=0036445731&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0036445731&partnerID=8YFLogxK

M3 - Article

AN - SCOPUS:0036445731

VL - 95

SP - 889

EP - 892

JO - Practica Oto-Rhino-Laryngologica

JF - Practica Oto-Rhino-Laryngologica

SN - 0032-6313

IS - 9

ER -