Baik J S, Kim W C, Heo J H, Zheng H Y
Department of Neurology, Yonsei University College of Medicine.
J Korean Med Sci. 1997 Aug;12(4):360-3. doi: 10.3346/jkms.1997.12.4.360.
Recurrent zoster myelitis is quite rare. We present a previously healthy 27-year-old woman who developed recurrent attacks of myelopathy shortly after the characteristic skin rashes of herpes zoster. Magnetic resonance imaging studies demonstrated each lesion in the spinal cord at the same segments as the skin lesions. She had two attacks at opposite sites at the same spinal cord level and complete recovery after being treated with intravenous acyclovir. We suspect that direct invasion of varicella zoster virus was the cause of recurrent myelopathy in our patient.
复发性带状疱疹性脊髓炎相当罕见。我们报告了一名此前健康的27岁女性，她在出现带状疱疹特征性皮疹后不久便反复发生脊髓病发作。磁共振成像研究显示脊髓中的每个病变部位与皮肤病变部位在相同节段。她在脊髓同一水平的相对部位发生了两次发作，并在接受静脉注射阿昔洛韦治疗后完全康复。我们怀疑水痘-带状疱疹病毒的直接侵袭是我们这位患者复发性脊髓病的病因。
