A case of bilateral cervical internal carotid artery dissection following herpes zoster of the trigeminal nerve
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- Iwasa Mariko
- Department of Neurology, Yodogawa Christian Hospital
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- Mima Yohei
- Department of Neurology, Yodogawa Christian Hospital
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- Ito Aya
- Department of Neurology, Yodogawa Christian Hospital
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- Abe Yuko
- Department of Neurology, Yodogawa Christian Hospital
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- Ueda Naoko
- Department of Neurology, Yodogawa Christian Hospital
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- Otsubo Ryoichi
- Department of Neurology, Yodogawa Christian Hospital
Bibliographic Information
- Other Title
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- 三叉神経領域の帯状疱疹後に発症した両側頸部内頸動脈解離の1例
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Abstract
<p>A 62 year-old man, who was taking prednisolone for nephrotic syndrome, was diagnosed with herpes zoster of the trigeminal nerve and treated with oral valacyclovir. One month later, he reported pain from the right side of the head and vomiting. MRI revealed an acute infarction in the right frontal lobe and dissection of the internal carotid artery of the right cervix. Trauma or other potential triggers were not observed. In consideration of the preceding condition of varicella zoster virus infection, acyclovir was administered in addition to unfractionated heparin, but an intramural hematoma emerged in the left internal carotid artery. Furthermore, evidence showing progression of these lesions was found. On the fifth day, prednisolone was increased to 1 mg/kg/day, and progression of vascular lesions was not observed. This case may prove valuable because it suggests a relationship between cervical artery dissection and herpes zoster.</p>
Journal
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- Rinsho Shinkeigaku
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Rinsho Shinkeigaku 58 (5), 292-296, 2018
Societas Neurologica Japonica