A case of radiculomyelitis following chickenpox in adulthood

Manabu Osoegawa, Kenji Arakawa, Eiichi Araki, Takayuki Taniwaki, Takeshi Yamada, Jun-Ichi Kira

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

A 34-year-old woman presented with numbness in both lower limbs and weakness of right lower limb twenty six days after a primary varicella infection (chickenpox) associated with fever and rash. Neurological examination revealed numbness of both lower limbs, more severe on the right side, mild paresis of the right lower limb, particularly in the tibialis anterior muscle, and absent ankle jerk on the right. After admission, hyperalgesia appeared at the thoracic 10 ~ 12 levels. The T 2-weighted MRI of the spinal cord revealed a high signal intensity lesion at the Th 9 level and gadolinium enhancement was seen in that lesion as well as in the bilateral posterior radicles and the left anterior radix at the Th 9 level. On needle electromyography, fasciculation was found in the right tibialis anterior and gastrocnemius muscles. The temporal dispersion of F-wave was seen in the right peroneal nerve. We diagnosed the patient suffered from radiculomyelitis following the primary varicella infection. The secondary immunological mechanism rather than direct viral invasion is most likely in our patient, because (1) neither VZV DNA, nor anti-VZV antibody was positive in the CSF, and (2) the duration was relatively long between the development of skin rash and that of neurological symptoms.

Original languageEnglish
Pages (from-to)817-820
Number of pages4
JournalClinical Neurology
Volume39
Issue number8
Publication statusPublished - Aug 1 1999

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Chickenpox
Lower Extremity
Hypesthesia
Exanthema
Fasciculation
Peroneal Nerve
Hyperalgesia
Neurologic Examination
Gadolinium
Electromyography
Paresis
Granulocyte-Macrophage Colony-Stimulating Factor
Infection
Ankle
Needles
Anti-Idiotypic Antibodies
Spinal Cord
Skeletal Muscle
Fever
Thorax

All Science Journal Classification (ASJC) codes

  • Clinical Neurology

Cite this

Osoegawa, M., Arakawa, K., Araki, E., Taniwaki, T., Yamada, T., & Kira, J-I. (1999). A case of radiculomyelitis following chickenpox in adulthood. Clinical Neurology, 39(8), 817-820.

A case of radiculomyelitis following chickenpox in adulthood. / Osoegawa, Manabu; Arakawa, Kenji; Araki, Eiichi; Taniwaki, Takayuki; Yamada, Takeshi; Kira, Jun-Ichi.

In: Clinical Neurology, Vol. 39, No. 8, 01.08.1999, p. 817-820.

Research output: Contribution to journalArticle

Osoegawa, M, Arakawa, K, Araki, E, Taniwaki, T, Yamada, T & Kira, J-I 1999, 'A case of radiculomyelitis following chickenpox in adulthood', Clinical Neurology, vol. 39, no. 8, pp. 817-820.
Osoegawa M, Arakawa K, Araki E, Taniwaki T, Yamada T, Kira J-I. A case of radiculomyelitis following chickenpox in adulthood. Clinical Neurology. 1999 Aug 1;39(8):817-820.
Osoegawa, Manabu ; Arakawa, Kenji ; Araki, Eiichi ; Taniwaki, Takayuki ; Yamada, Takeshi ; Kira, Jun-Ichi. / A case of radiculomyelitis following chickenpox in adulthood. In: Clinical Neurology. 1999 ; Vol. 39, No. 8. pp. 817-820.
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