Herpes zoster meningoencephalitis with decreased CSF glucose level-A case report and review of literatures

J Korean Neurol Assoc > Volume 15(5); 1997 > Article

Journal of the Korean Neurological Association 1997;15(5): 1173-1183.

뇌척수액에서 당감소를 보인 대상포진 수막뇌염 1례

최병철, 정원희, 김정환, 정근호, 조필자, 강훈, 손숙자

국립의료원 신경과. 피부과

Herpes zoster meningoencephalitis with decreased CSF glucose level-A case report and review of literatures

Byung Cheol Choi, M.D. , Won Heu Chung, M.D. , Jung Whan Kim., M.D. , Keun Ho Chung, M.D. , Phil Za Cho M.D., Hoon Kang, M.D.* , Sook Ja Son, M.D.*

Dept of Neurology, Dermatology *, National Medical Center

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.