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

Year 2022, Volume: 6 Issue: 4, 524 - 526, 01.04.2022

Emine Yurdakul Ertürk Hülya İnce Davut  Albayrak

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

Keywords

Children Headache Herpes zoster meningitis Immunocompetent Sinus vein thrombosis

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

Year 2022, Volume: 6 Issue: 4, 524 - 526, 01.04.2022

Emine Yurdakul Ertürk Hülya İnce Davut  Albayrak

https://doi.org/10.28982/josam.978248

Abstract

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
There are 15 citations in total.

Details

Primary Language English
Subjects Paediatrics
Journal Section Case report
Authors

Emine Yurdakul Ertürk 0000-0001-5366-647X

Hülya İnce 0000-0002-8923-0413

Davut  Albayrak 0000-0002-7947-3817

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

Cite

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. 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. April 2022;6(4):524-526. doi:10.28982/josam.978248
Chicago Yurdakul Ertürk, Emine, Hülya İnce, and Davut Albayrak. “Acute Severe Headache: Association of Herpes Zoster Meningitis and Sinus Vein Thrombosis”. Journal of Surgery and Medicine 6, no. 4 (April 2022): 524-26. https://doi.org/10.28982/josam.978248.
EndNote Yurdakul Ertürk E, İnce H, Albayrak D (April 1, 2022) Acute severe headache: Association of herpes zoster meningitis and sinus vein thrombosis. Journal of Surgery and Medicine 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”, J Surg Med, vol. 6, no. 4, pp. 524–526, 2022, doi: 10.28982/josam.978248.
ISNAD Yurdakul Ertürk, Emine et al. “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.
JAMA Yurdakul Ertürk E, İnce H, Albayrak D. Acute severe headache: Association of herpes zoster meningitis and sinus vein thrombosis. J Surg Med. 2022;6:524–526.
MLA Yurdakul Ertürk, Emine et al. “Acute Severe Headache: Association of Herpes Zoster Meningitis and Sinus Vein Thrombosis”. Journal of Surgery and Medicine, vol. 6, no. 4, 2022, pp. 524-6, doi:10.28982/josam.978248.
Vancouver 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):524-6.
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