Statistics from Altmetric.com
A 61 year old woman developed tingling at the corner of the right side of her mouth which spread over the next week to involve the whole of the right side of her face. The symptoms were static for two weeks, then gradually receded over the next four weeks. There were no associated neurological symptoms. Simultaneous with this she developed a painful vesicular rash over the right side of the face.
Neurological examination showed a right trigeminal sensory neuropathy and no other signs.
Brain MRI showed an area of high signal in the right pons, and no other lesions elsewhere.
CSF protein was raised at 0.75 g/l but the CSF was acellular. Oligoclonal bands were present in the CSF but absent in serum. The CSF IgG showed high affinity binding toVaricella zoster antigen. This strongly suggests that the pathogenesis of the brainstem lesion was directly related to the preceding episode of shingles.
At follow up four months later she had made a complete recovery.
If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.