Book contents
- Rare Causes of Stroke
- Rare Causes of Stroke
- Copyright page
- Contents
- Contributors
- Preface
- 1 Inflammatory Conditions
- 2 Infectious and Postinfectious Vasculitis
- Chapter 2.1 Meningovascular Syphilis
- Chapter 2.2 Neuroborreliosis
- Chapter 2.3 Tuberculosis Meningitis
- Chapter 2.4 Bacterial Meningitis
- Chapter 2.5 Neurocysticercosis
- Chapter 2.6 Varicella-Zoster Virus-Related: Cytomegalovirus (CMV) and Herpes Infections
- Chapter 2.7 HIV Infection
- Chapter 2.8 Chagas Disease
- 3 Hypercoagulable Causes of Stroke
- 4 Drug-Related Stroke
- 5 Hereditary and Genetic Causes of Stroke
- 6 Rare Causes of Cardioembolism
- 7 Vasospastic Conditions and Other Vasculopathies
- 8 Other Non-inflammatory Vasculopathies
- 9 Venous Occlusive Conditions
- 10 Bone Disorders and Stroke
- Index
- References
Chapter 2.6 - Varicella-Zoster Virus-Related: Cytomegalovirus (CMV) and Herpes Infections
from 2 - Infectious and Postinfectious Vasculitis
Published online by Cambridge University Press: 06 October 2022
- Rare Causes of Stroke
- Rare Causes of Stroke
- Copyright page
- Contents
- Contributors
- Preface
- 1 Inflammatory Conditions
- 2 Infectious and Postinfectious Vasculitis
- Chapter 2.1 Meningovascular Syphilis
- Chapter 2.2 Neuroborreliosis
- Chapter 2.3 Tuberculosis Meningitis
- Chapter 2.4 Bacterial Meningitis
- Chapter 2.5 Neurocysticercosis
- Chapter 2.6 Varicella-Zoster Virus-Related: Cytomegalovirus (CMV) and Herpes Infections
- Chapter 2.7 HIV Infection
- Chapter 2.8 Chagas Disease
- 3 Hypercoagulable Causes of Stroke
- 4 Drug-Related Stroke
- 5 Hereditary and Genetic Causes of Stroke
- 6 Rare Causes of Cardioembolism
- 7 Vasospastic Conditions and Other Vasculopathies
- 8 Other Non-inflammatory Vasculopathies
- 9 Venous Occlusive Conditions
- 10 Bone Disorders and Stroke
- Index
- References
Summary
We present the case of a 36-year old male who presented with generalized tonic-clonic seizures and history of diffuse vesicular rash. In the ER, he was drowsy and disoriented with right hemiparesis. Investigations revealed IgG varicella antibodies in the CSF along with elevated homocysteine levels. MRV revealed extensive CVST in superficial sagittal sinus, right transverse sinus and superficial veins. He was treated with IV acyclovir, adequate hydration and was started on levetiracetam. He was put on low molecular weight heparin and continued on anticoagulation for 3 months. Follow up MRI showed recanalization of venous sinuses with no lesions. CVST secondary to VZV is a rare occurrence. We propose a diagnostic and treatment algorithm with our case
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- Rare Causes of StrokeA Handbook, pp. 137 - 140Publisher: Cambridge University PressPrint publication year: 2022