Herpes zoster with multiple cranial and upper cervical nerves involvement

J Korean Neurol Assoc > Volume 15(3); 1997 > Article

Journal of the Korean Neurological Association 1997;15(3): 712-715.

다발성으로 뇌신경 및 상경부 신경을 침범한 대상포진 1예

이동국, 곽규호, 도진국, 오희종

대구효성가톨릭대학교 의대 신경과

Herpes zoster with multiple cranial and upper cervical nerves involvement

Dong Kuck Lee, M.D., Kyu Ho Kwak, M.D., Jin Kuk Do, M.D., Hee Jong Oh, M.D.

Department of neurology, School of medicine, Catholic University of Taegu-Hyosung

Abstract

Herpes zoster is a viral disease that produces inflammatory lesions in the posterior root ganglia and is characterized clinically by pain and a skin eruption in the distribution of the affected ganglia. Involvement of motor roots or the CNS occurs in a small percentage of the patients. There are few reports about multiple cranial and upper cervical nerve involvement. We report a herpes zoster with multiple cranial(VI, VII, VIII, XII) and upper cervical(C2,3) nerves involvement. The patient was a 79-year-old woman who presented with painful vesicular eruption on left side of face and neck. She complained of decreased hearing and hyperacusis of left ear. Neurologic examination showed decreased taste sensation of left anterior tongue, left facial palsy, and tongue deviation to the left side.