Journal of Postgraduate Medicine, Education and Research

Register      Login

VOLUME 57 , ISSUE 1 ( January-March, 2023 ) > List of Articles


Varicella Meningitis Presenting with Neurogenic Dysphagia

Hari K. Boorugu, Jaydip R Chaudhuri, Pavan Katragadda, Swathi Alluri, Manoj Cheerla, Manusruta Manusrut

Keywords : Aseptic meningitis, Lower cranial nerve involvement, Varicella

Citation Information : Boorugu HK, Chaudhuri JR, Katragadda P, Alluri S, Cheerla M, Manusrut M. Varicella Meningitis Presenting with Neurogenic Dysphagia. J Postgrad Med Edu Res 2023; 57 (1):38-39.

DOI: 10.5005/jp-journals-10028-1584

License: CC BY-NC 4.0

Published Online: 10-04-2023

Copyright Statement:  Copyright © 2023; The Author(s).


Varicella zoster virus (VZV) infection is common, but central nervous system involvement is rare. We report a patient with herpes zoster oticus and aseptic meningitis with 8–10th cranial nerve involvement who responded well to treatment with aciclovir.

  1. Lizzi J, Hill T, Jakubowski J. Varicella zoster virus encephalitis. Clin Pract Cases Emerg Med 2019;3(4):380–382. DOI: 10.5811/cpcem.2019.8.43010
  2. Jhaveri R, Sankar R, Yazdani S, et al. Varicella zoster virus: an overlooked cause of aseptic meningitis. Pediatr Infect Dis J 2003;22(1):96–97. DOI: 10.1097/00006454-200301000-00026
  3. Kang JH, Sheu JJ, Lin HC. Increased risk of Guillain-Barré syndrome following recent herpes zoster: a population-based study across Taiwan. Clin Infect Dis 2010; 51(5):525–530. DOI: 10.1086/655136
  4. Purbaugh MV, Pedavally S, Piccione E, et al. Varicella zoster meningitis presenting with isolated dysphagia, dysarthria and dysphonia. Neurohospitalist 2022;12(1):167–170. DOI: 10.1177/1941874420976469
  5. Cao DH, Xie YN, Ji Y, et al. A case of Varicella zoster encephalitis with glossopharyngeal and vagus nerve injury as primary manifestation combined with medulla lesion. J Int Med Res 2019;47(5):2256–2261. DOI: 10.1177/0300060519833529
  6. Taniguchi D, Nakahara T, Nakajima S, et al. Successful treatment with acyclovir and a corticosteroid for lower cranial polyneuropathy in zoster sine herpete: a case report. Rinsho Shinkeigaku 2015;55(12):932–935. DOI: 10.5692/
  7. Prelack MS, Patterson KR, Berger JR. Varicella zoster virus rhombencephalomyelitis following radiation therapy for oropharyngeal carcinoma. J Clin Neurosci 2016;25:164–166. DOI: 10.1016/j.jocn.2015.09.009
  8. United States Centers for Disease Control and Prevention. Shingles. Surveillance
  9. Lokeshwar MR, Agrawal A, Subbarao SD, et al. Age related seroprevalence of antibodies to varicella in India. Indian Pediatr 2000;37:714–719.
  10. Kawai K, Gebremeskel BG, Acosta CJ. Systematic review of incidence and complications of Herpes zoster: towards a global perspective. BMJ Open 2014;4(6):e004833. DOI: 10.1136/bmjopen-2014-004833
  11. Persson A, Bergström T, Lindh M, et al. Varicella-zoster virus CNS disease–viral load, clinical manifestations and sequels. J Clin Virol 2009;46(3):249–253. DOI: 10.1016/j.jcv.2009.07.014
  12. Becerra JCL, Sieber R, Martinetti G, et al. Infection of the central nervous system caused by Varicella zoster virus reactivation: a retrospective case series study. Int J Infect Dis 2013;17(7):e529–e534. DOI: 10.1016/j.ijid.2013.01.031
  13. Alvarez JC, Alvarez J, Tinoco J, et al. Varicella-Zoster virus meningitis and encephalitis: an understated cause of central nervous system infections. Cureus 2020;12(11):e11583. DOI: 10.7759/cureus.11583
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.