다발성 뇌신경병증을 동반한 인후두의 수두대상포진바이러스 감염으로 인한 연하곤란 1예
A Case of Pharyngeal Dysphagia due to Pharyngolaryngeal Varicella Zoster Virus Infection With Multiple Cranial Neuropathies
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초록
Herpes zoster is caused by reactivation of latent varicella zoster virus (VZV). It may manifestas various clinical symptoms and signs depending on the cranial nerves (CNs) involved, especiallyin the head and neck region. Involvement of the CNs IX and X by VZV is rarely reportedcompared to that of CN V, VII, and VIII. Here we describe a case of VZV infection of thepharynx and larynx with multiple CN neuropathies (CN VII, IX, X). A 70-year-old malecomplained of odynophagia and dysphagia, which was confined to the right side, followed byipsilateral facial weakness. Fiberoptic endoscopic evaluation of swallowing showed the residuesat the valleculae and ipsilateral pyriform sinus, which indicated pharyngeal dysphagia. After treatment with an antiviral agent and glucocorticoid, the patient recovered fully.
Abstract
Herpes zoster is caused by reactivation of latent varicella zoster virus (VZV). It may manifestas various clinical symptoms and signs depending on the cranial nerves (CNs) involved, especiallyin the head and neck region. Involvement of the CNs IX and X by VZV is rarely reportedcompared to that of CN V, VII, and VIII. Here we describe a case of VZV infection of thepharynx and larynx with multiple CN neuropathies (CN VII, IX, X). A 70-year-old malecomplained of odynophagia and dysphagia, which was confined to the right side, followed byipsilateral facial weakness. Fiberoptic endoscopic evaluation of swallowing showed the residuesat the valleculae and ipsilateral pyriform sinus, which indicated pharyngeal dysphagia. After treatment with an antiviral agent and glucocorticoid, the patient recovered fully.
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