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International Journal of Recent Trends in Science and Technology, ISSN 2277-2812 E-ISSN: 2249-8109
Volume 8, Issue 2, August 2013 pp 130-131
Stroke due to Varicella Zoster Virus Vasulopathy: A Case Report
Sharad Khurana, Amartya Kundu, Ira Shukla
1,3MBBS Graduate, Grant Medical College Mumbai, Maharashtra, INDIA.
2MBBS Graduate, Medical College, Kolkata, West Bengal, INDIA.
Academic Editor : Dr. Aher K.R.
Stroke is a common cause of mortality and morbidity worldwide. Apart from established risk factors, viral infections have also emerged as risk factors for stroke. VZV is the only virus that has been shown to directly invade cerebral arteries and produce vasculopathy in both immunocompetent and immunocompromised hosts. Contralateral hemiparesis usually results from infarction of the ipsilateral middle cerebral artery several weeks after the onset of herpes zoster ophthalmicus (HZO). Although only a few cases of stroke syndromes associated with HZO have been described thus far, it is very likely underestimated because of its diagnostic difficulty. The optimal treatment of CNS vasculitis caused by VZV is unknown and controversial results have been reported with many drugs. We are hereby reporting a case of 26-year-old immunocompromised male who developed transient ischemic attacks 8 weeks after an episode of HZO and responded well to anti- viral therapy.