ABSTRACT
Vernet syndrome associated with varicella zoster virus (VZV) has been rarely reported. The diagnosis is established based on typical symptoms such as dysphagia, hoarseness, and unilateral difficulty in neck movement. Lack of skin lesions is common and makes it harder to consider VZV infection. A 53-year-old woman presented with left neck pain, dysphagia, hoarseness, and headache, with an erythematous vesicle on her neck. Laryngoscopy revealed paralysis of her left-soft palate and left-vocal cord. Upon cerebrospinal fluid (CSF) examination, her white blood cell (WBC) count, protein levels, glucose levels, and VZV antibody titer were elevated; moreover, VZV-DNA was detected. Magnetic resonance imaging (MRI) showed no sign of brain tumor, aneurysm or fracture. The patient was diagnosed with Vernet syndrome associated with VZV infection, having presented with a skin lesion involving the cervical segment.
Subject(s)
Female , Humans , Middle Aged , Aneurysm , Brain Neoplasms , Cerebrospinal Fluid , Chickenpox , Deglutition Disorders , Diagnosis , Glucose , Headache , Herpesvirus 3, Human , Hoarseness , Laryngoscopy , Leukocytes , Magnetic Resonance Imaging , Neck , Neck Pain , Palate , Paralysis , SkinABSTRACT
A partir do relato de um caso sobre a síndrome de Villaret, o autor ressalta a importância da relação anátomo-clínica, aspectos clínicos e etiologias das síndromes que cursam com o comprometimento dos quatro últimos nervos cranianos quando da sua passagem extracranial.
From the case study of a patient with the Villaret syndrome the author emphasizes the importance of the anatomical-clinical relationship, clinical aspects, and etiologies of syndromes that are associated with the impairment of the last four cranial nerves during its out of skull passage.