Case Report
PDF Zotero Mendeley EndNote BibTex Cite

Acute severe headache: Association of herpes zoster meningitis and sinus vein thrombosis

Year 2022, Volume 6, Issue 4, 524 - 526, 01.04.2022
https://doi.org/10.28982/josam.978248

Abstract

The development of neurological complications related to varicella zoster virus (VZV) is rare, especially in immunocompetent children. We report a case of a 14-year-old male patient who presented with severe headache and diagnosed with acute aseptic meningitis and sinus vein thrombosis caused by reactivated VZV infection. Magnetic resonance (MR) venography identified limited flow, consistent with a thrombus in the right sigmoid sinus. Pressure of cerebrospinal fluid (CSF) was measured as high, with the PCR meningitis panel positive for VZV. These results show an association of VZV meningitis and sinus vein thrombus. Pediatric cases associated with aseptic meningitis and cerebral venous sinus thrombosis to varicella zoster reactivation have not yet been reported in the literature

References

  • 1. Yasuda R, Minami K, Ogawa A, Okada, H, Terakawa R, Koike Y, et al. Herpes zoster and meningitis in an immunocompetent child: a case report. Journal of medical case reports. 2019; 13(1): 182. https://doi.org/10.1186/s13256-019-2082-z
  • 2. Cunha BA, Warren-Favorito H, Mickail N. Unusually severe varicella zoster (VZV) virus viral (aseptic) meningitis in an unimmunized, immunocompetent host with chickenpox. Heart & lung : the journal of critical care. (2011); 40(4): 349–51. https://doi.org/10.1016/j.hrtlng.2010.07.005
  • 3. Kleinschmidt-DeMasters BK, Gilden DH. The expanding spectrum of herpesvirus infections of the nervous system. Brain pathology (Zurich, Switzerland). (2001; 11(4): 440–451. https://doi.org/10.1111/j.1750-3639.2001.tb00413.x
  • 4. Bredlich RO, Alfke K, Brickenstein H, Pillekamp H, Peter RU. Meningeale Reizung--eine Komplikation des Herpes zoster [Meningeal irritation--a complication of herpes zoster]. Deutsche medizinische Wochenschrift. 1998; 123(36): 1035-8. https://doi.org/10.1055/s-2007-1024115
  • 5. Petursson G, Helgason S, Gudmundsson S, Sigurdsson JA. Herpes zoster in children and adolescents. The Pediatric infectious disease journal. (1998); 17(10): 905-8. https://doi.org/10.1097/00006454-199810000-00011
  • 6. Gershon AA, Gershon MD, Breuer J, Levin MJ, Oaklander AL, Griffiths PD. Advances in the understanding of the pathogenesis and epidemiology of herpes zoster. Journal of clinical virology : the official publication of the Pan American Society for Clinical Virology. 2010; 48(1): 2-7. https://doi.org/10.1016/S1386-6532(10)70002-0
  • 7. Gnann JW Jr. Varicella-zoster virus: atypical presentations and unusual complications. The Journal of infectious diseases. 2002; 186(1): 91-8. https://doi.org/10.1086/342963
  • 8. Ibrahim W, Elzouki AN, Husain A, Osman L. Varicella Zoster Aseptic Meningitis: Report of an Atypical Case and Literature Review. The American journal of case reports. 2015; 16: 594-7. https://doi.org/10.12659/AJCR.894045
  • 9. Johnson RW, Whitton TL. Management of herpes zoster (shingles) and postherpetic neuralgia. Expert opinion on pharmacotherapy. (2004); 5(3): 551-9. https://doi.org/10.1517/14656566.5.3.551
  • 10. Mehta A, Arora A, Sharma M, Malik R, Porwal YC. Hemorrhagic Stroke and Cerebral Venous Thrombosis: Rare Neurological Sequelae of Chickenpox Infection. Annals of Indian Academy of Neurology. 2018; 21(3): 228-32. https://doi.org/10.4103/aian.AIAN_421_1
  • 11. Sada S, Kammineni A, Kanikannan MA, Afshan J. Cerebral sinus venous thrombosis: a rare complication of primary Varicella zoster virus. Neurology India. 2012; 60(6): 645-6. https://doi.org/10.4103/0028-3886.105204
  • 12. Zhu R, Fang C, Wang J, He X. Acute Herpes Zoster Followed by Cerebral Venous Sinus Thrombosis. Neurology India. 2020; 68(1): 219-21. https://doi.org/10.4103/0028-3886.279658
  • 13. Jain R, Deveikis J, Hickenbottom S, Mukherji SK. Varicella-zoster vasculitis presenting with intracranial hemorrhage. AJNR. American journal of neuroradiology. 2003; 24(5): 971-4.
  • 14. Itrat A, Shoukat S, Kamal AK. Pathophysiology of cerebral venous thrombosis--an overview. JPMA. The Journal of the Pakistan Medical Association. 2006; 56(11): 506-8.
  • 15. Alataby H, Gautam R, Yuan M, Nfonoyim, J. Varicella-Zoster as a Cause of Aseptic Meningitis in an Immunocompetent Young Patient With Skin Rash. Cureus. 2020; 12(6): 8745. https://doi.org/10.7759/cureus.8745

Details

Primary Language English
Subjects Pediatrics
Journal Section Case report
Authors

Emine YURDAKUL ERTÜRK (Primary Author)
ORDU UNIVERSITY, FACULTY OF MEDICINE
0000-0001-5366-647X
Türkiye


Hülya İNCE
Clinic of Pediatrics Neurology, Medical Park Hospital
0000-0002-8923-0413
Türkiye


Davut  ALBAYRAK
Clinic of Pediatrics Hematology, Medical Park Hospital
0000-0002-7947-3817
Türkiye

Publication Date April 1, 2022
Published in Issue Year 2022, Volume 6, Issue 4

Cite

Bibtex @case report { josam978248, journal = {Journal of Surgery and Medicine}, issn = {}, eissn = {2602-2079}, address = {jsurgmed@gmail.com}, publisher = {Fatih BAŞAK}, year = {2022}, volume = {6}, pages = {524 - 526}, doi = {10.28982/josam.978248}, title = {Acute severe headache: Association of herpes zoster meningitis and sinus vein thrombosis}, key = {cite}, author = {Yurdakul Ertürk, Emine and İnce, Hülya and Albayrak, Davut } }
APA Yurdakul Ertürk, E. , İnce, H. & Albayrak, D. (2022). Acute severe headache: Association of herpes zoster meningitis and sinus vein thrombosis . Journal of Surgery and Medicine , 6 (4) , 524-526 . DOI: 10.28982/josam.978248
MLA Yurdakul Ertürk, E. , İnce, H. , Albayrak, D. "Acute severe headache: Association of herpes zoster meningitis and sinus vein thrombosis" . Journal of Surgery and Medicine 6 (2022 ): 524-526 <https://jsurgmed.com/en/pub/issue/69115/978248>
Chicago Yurdakul Ertürk, E. , İnce, H. , Albayrak, D. "Acute severe headache: Association of herpes zoster meningitis and sinus vein thrombosis". Journal of Surgery and Medicine 6 (2022 ): 524-526
RIS TY - JOUR T1 - Acute severe headache: Association of herpes zoster meningitis and sinus vein thrombosis AU - Emine Yurdakul Ertürk , Hülya İnce , Davut  Albayrak Y1 - 2022 PY - 2022 N1 - doi: 10.28982/josam.978248 DO - 10.28982/josam.978248 T2 - Journal of Surgery and Medicine JF - Journal JO - JOR SP - 524 EP - 526 VL - 6 IS - 4 SN - -2602-2079 M3 - doi: 10.28982/josam.978248 UR - https://doi.org/10.28982/josam.978248 Y2 - 2022 ER -
EndNote %0 Journal of Surgery and Medicine Acute severe headache: Association of herpes zoster meningitis and sinus vein thrombosis %A Emine Yurdakul Ertürk , Hülya İnce , Davut  Albayrak %T Acute severe headache: Association of herpes zoster meningitis and sinus vein thrombosis %D 2022 %J Journal of Surgery and Medicine %P -2602-2079 %V 6 %N 4 %R doi: 10.28982/josam.978248 %U 10.28982/josam.978248
ISNAD Yurdakul Ertürk, Emine , İnce, Hülya , Albayrak, Davut  . "Acute severe headache: Association of herpes zoster meningitis and sinus vein thrombosis". Journal of Surgery and Medicine 6 / 4 (April 2022): 524-526 . https://doi.org/10.28982/josam.978248
AMA Yurdakul Ertürk E. , İnce H. , Albayrak D. Acute severe headache: Association of herpes zoster meningitis and sinus vein thrombosis. J Surg Med. 2022; 6(4): 524-526.
Vancouver Yurdakul Ertürk E. , İnce H. , Albayrak D. Acute severe headache: Association of herpes zoster meningitis and sinus vein thrombosis. Journal of Surgery and Medicine. 2022; 6(4): 524-526.
IEEE E. Yurdakul Ertürk , H. İnce and D. Albayrak , "Acute severe headache: Association of herpes zoster meningitis and sinus vein thrombosis", Journal of Surgery and Medicine, vol. 6, no. 4, pp. 524-526, Apr. 2022, doi:10.28982/josam.978248

The DNS issue is resolved. jsurgmed.com and current publication are fully accessible.

To use the submission system properly, please use one of the following browsers, Chrome or Firefox, with the latest updates.
If you experience problems, it may be necessary to clear the browser cache and history; and disable blocker extensions, i.e., uBlock, of the browsers
Mobile phones are not recommended, please use a personal computer.