Center for Clinical Education and Training, Takamatsu Red Cross Hospital, Japan.
Department of Neurology, Takamatsu Red Cross Hospital, Japan.
Intern Med. 2023 Jan 1;62(1):119-122. doi: 10.2169/internalmedicine.9334-22. Epub 2022 Jun 7.
A 73-year-old Japanese man with diabetic complications presented with involuntary lip movements and long-lasting hiccups after developing zoster rash. Magnetic resonance imaging revealed lesions involving the medial temporal lobe and C1 level of the spinal cord. Varicella-zoster virus (VZV) encephalomyelitis was diagnosed. We considered attributing the orofacial dyskinesia, a very rare symptom of VZV central nervous system (CNS) complications, to the temporal lobe lesion. Although the culprit lesion for the hiccups was unclear, further examinations may have clarified this issue. As immunocompromised patients with herpes zoster may develop CNS complications with a wide variety of symptoms, special care is needed.
一位 73 岁的日本男性，患有糖尿病并发症，在出现带状疱疹皮疹后出现不自主的唇部运动和持续性呃逆。磁共振成像显示病变累及内侧颞叶和脊髓 C1 水平。诊断为水痘-带状疱疹病毒（VZV）脑炎。我们考虑将面口运动障碍（VZV 中枢神经系统（CNS）并发症的一种非常罕见的症状）归因于颞叶病变。虽然呃逆的罪魁祸首病变尚不清楚，但进一步的检查可能会澄清这一问题。由于患有带状疱疹的免疫功能低下患者可能会出现多种症状的中枢神经系统并发症，因此需要特别注意。
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