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J Korean Neurol Assoc. 2006 Dec;24(6):608-610. Korean. Case Report.
Shin CS , Lee SH , Lee YS , Lee KR , Choi SM , Park MS , Kim BC , Kim MK , Cho KH .
Department of Neurology, Chonnam National University Medical School, Gwangju, Korea.

A 19-year-old woman developed painful abdominal distension, headache and mental deterioration. Several days later, she complained of paraparesis, urinary incontinence and diuresis. Intestinal pseudo-obstruction was detected by a laparoscopic examination. Brain MRI showed encephalitis with a high signal intensity of the corpus callosum on diffusion-weighted images. In serum and CSF, the varicella-zoster virus (VZV) IgM antibody was positive. After treatment with steroids and acyclovir, her symptoms improved. We report a patient with intestinal pseudo-obstruction, encephalitis and meningoradiculitis caused by VZV without skin lesions.

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