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Orofacial Dyskinesia and Intractable Hiccups in a Patient with Varicella-Zoster Virus Encephalomyelitis.

Authors:
Akito Funatsu Yohei Yamamoto Midori Araki Fumitoshi Aga Hideki Mine

Intern Med 2022 Jun 7. Epub 2022 Jun 7.

Departments of Neurology, Takamatsu Red Cross Hospital, Japan.

A 73-year-old Japanese man with diabetic complications presented with involuntary lip movements and long-lasting hiccups after developing zoster rash. Magnetic resonance imaging revealed lesions involving the medial temporal lobe and C1 level of the spinal cord. Varicella-zoster virus (VZV) encephalomyelitis was diagnosed. We considered attributing the orofacial dyskinesia, a very rare symptom of VZV central nervous system (CNS) complications, to the temporal lobe lesion. Although the culprit lesion for the hiccups was unclear, further examinations may have clarified this issue. As immunocompromised patients with herpes zoster may develop CNS complications with a wide variety of symptoms, special care is needed.

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http://dx.doi.org/10.2169/internalmedicine.9334-22DOI Listing
June 2022

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