J Korean Neurol Assoc.  2024 Feb;42(1):27-30. 10.17340/jkna.2023.0078.

Atypical Presentation of Elsberg Syndrome Caused by Herpes Simplex Virus Type 2 Infection

Affiliations
  • 1Department of Neurology, Pusan National University School of Medicine, Yangsan, Korea
  • 2Department of Neurology, Pusan National University Hospital, Busan, Korea
  • 3Biomedical Research Institute, Pusan National University Hospital, Busan, Korea

Abstract

Elsberg syndrome is a rare disease of lumbosacral myeloradiculitis, mostly caused by herpes simplex virus type 2 (HSV-2). It frequently has concomitant myelitis, and immunocompromised patients can be fatal with ascending myelitis. Since anti-viral agents might lead to good recovery, clinicians need to be suspicious for conditions of cauda equina syndrome. Detection of viral DNA from cerebrospinal fluid ensures the diagnosis. We report a case of Elsberg syndrome caused by HSV-2 and are to delineate the clinical and radiologic spectrum.

Keyword

Myelitis; Herpesvirus 2; human; Acyclovir
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