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• W2004216768 abstract "Vasculopathies caused by varicella zoster virus (VZV) are indicative of a productive virus infection in cerebral arteries after either reactivation of VZV (shingles) or primary infection (chickenpox). VZV vasculopathy can cause ischaemic infarction of the brain and spinal cord, as well as aneurysm, subarachnoid and cerebral haemorrhage, carotid dissection, and, rarely, peripheral arterial disease. VZV vasculopathy in immunocompetent or immunocompromised individuals can be unifocal or multifocal with deep-seated and superficial infarctions. Lesions at the grey–white matter junction on brain imaging are a clue to diagnosis. Involvement of both large and small arteries is more common than that of either alone. Most patients have a mononuclear cerebrospinal fluid pleocytosis, often with red blood cells. Cerebrospinal fluid pleocytosis and rash are absent in about a third of cases. Anti-VZV IgG antibody in the cerebrospinal fluid is found more frequently than VZV DNA. In recent years, the number of recognised VZV vasculopathies has grown, and accurate diagnosis is important for the effective treatment of these disorders. Vasculopathies caused by varicella zoster virus (VZV) are indicative of a productive virus infection in cerebral arteries after either reactivation of VZV (shingles) or primary infection (chickenpox). VZV vasculopathy can cause ischaemic infarction of the brain and spinal cord, as well as aneurysm, subarachnoid and cerebral haemorrhage, carotid dissection, and, rarely, peripheral arterial disease. VZV vasculopathy in immunocompetent or immunocompromised individuals can be unifocal or multifocal with deep-seated and superficial infarctions. Lesions at the grey–white matter junction on brain imaging are a clue to diagnosis. Involvement of both large and small arteries is more common than that of either alone. Most patients have a mononuclear cerebrospinal fluid pleocytosis, often with red blood cells. Cerebrospinal fluid pleocytosis and rash are absent in about a third of cases. Anti-VZV IgG antibody in the cerebrospinal fluid is found more frequently than VZV DNA. In recent years, the number of recognised VZV vasculopathies has grown, and accurate diagnosis is important for the effective treatment of these disorders. Don GildenDon Gilden graduated from Dartmouth College, NH, USA, received his MD degree from the University of Maryland, MD, USA, completed his neurology residency at the University of Chicago, IL, USA, followed by a postdoctoral fellowship in neurovirology at the Johns Hopkins University, MD, USA. He is Chair of Neurology at the University of Colorado, CO, USA, where his group studies the molecular pathogenesis of varicella zoster virus (VZV) infection and antigen identification in multiple sclerosis. Full-Text PDF" @default.
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• W2004216768 date "2009-08-01" @default.
• W2004216768 modified "2023-10-06" @default.
• W2004216768 title "Varicella zoster virus vasculopathies: diverse clinical manifestations, laboratory features, pathogenesis, and treatment" @default.
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• W2004216768 doi "https://doi.org/10.1016/s1474-4422(09)70134-6" @default.
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