Varicella-zoster meningoencephalitis and vasculitis after treatment with amenamevir to herpes zoster in the trigeminal nerve area

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  • 三叉神経領域の帯状疱疹をアメナメビルで治療後に帯状疱疹性髄膜脳炎と脳血管炎を合併した1例

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Abstract

<p>A 78-year-old woman was diagnosed with herpes zoster in the first branch of the trigeminal nerve and was treated with amenamevir. Subsequently, she was hospitalized for postherpetic neuralgia. Fever and unconsciousness were observed, and a diagnosis of varicella-zoster virus meningoencephalitis and vasculitis was made. In addition to the antithrombotic therapy, she was treated with intravenous acyclovir and steroid pulse therapy; however, her unconsciousness persisted. Amenamevir was not transferrable to the spinal fluid and resulted in an incomplete treatment of herpes zoster in the cerebral nerve region, suggesting that this case may be related to the severe course of the disease.</p>

Journal

  • Rinsho Shinkeigaku

    Rinsho Shinkeigaku 61 (4), 239-242, 2021

    Societas Neurologica Japonica

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