Vasculitis necrotizante hemorrágica asociada a infección por virus varicela zoster: Reporte de caso y revisión de la literatura (original) (raw)
Introduction: Necrotiz ing vascul it is of the central nervous system due to varicella zoster virus (VZV) infection implicates an infrequent entity due to direct invasion of the blood vessels. The objective is to present the cl in ical case of a parenchymal hemorrhage associated with herpes zoster cerebral vasculitis. Case report: A 19-year-old man with history of recent VZV infect ion presents with severe headache, left hemiparesis, a Glasgow coma scale of 9 points, right anisocoria secondary to parenchymal hemorrhage. The histopathological diagnosis was compatible with viral necrotiz ing vascul it is . Conclusions: Cerebral vasculitis is a rare cause of intracranial hemorrhage that should be suspected in a patient with history of recent VVZ infection. Magnetic resonance imaging and conventional angiography studies are useful elements in the diagnosis; however, they are poor indicators of the presence or vasculitis. Thus, the diagnosis does not rely on a s ingle method, but on the ...
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