[Postherpetic vasculopathy. A study of 3 cases in immunosuppressed patients] NLM AIDSLINE Important note: Information in this article was accurate in 1992. The state of the art may have changed since the publication date.

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[Postherpetic vasculopathy. A study of 3 cases in immunosuppressed patients]

Med Clin (Barc). 1990 Dec 8;95(20):782-4. Unique Identifier : AIDSLINE MED/92047662
Alvarez R; Graus F; Abos J; Miro JM; Carreras J; Mercader JM; Tolosa E; Servicio de Neurologia, Hospital Clinic i Provincial,; Barcelona.

Abstract: We report three cases of postherpetic vasculopathy in immunologically compromised patients. Two had ophthalmic herpes zoster, contralateral to the physical signs, and the third case developed after disseminated herpes zoster. The initial CT images consisted of small ischemic infarcts in capsular regions and basal ganglia. The arteriography showed images consistent with vasculitis or thrombosis of great vessels of the Willis' polygon, which were ipsilateral to the herpetic lesion in two cases. In one patient the neurological defect remained stable, while the other two developed new ischemic episodes, all in the same cerebral hemisphere. It can be assumed from the delayed development of neurologic disease after cutaneous lesions that some cases go unnoticed if the zoster infection is not specifically looked for in retrospect.
Keywords: Adult Bone Marrow Transplantation/IMMUNOLOGY Brain/RADIOGRAPHY Case Report Cerebrovascular Disorders/*ETIOLOGY/RADIOGRAPHY Child English Abstract Female Herpes Zoster/*COMPLICATIONS Herpes Zoster Ophthalmicus/COMPLICATIONS Human HIV Seropositivity/COMPLICATIONS Immunologic Deficiency Syndromes/*COMPLICATIONS/ETIOLOGY Male Substance Abuse, Intravenous/COMPLICATIONS Tomography, X-Ray Computed JOURNAL ARTICLEKWDadultbonemarrowtransplantation/immunologybrain/radiographycasereportcerebrovasculardisorders/KWDetiology/radiographychildenglishabstractfemaleherpeszoster/KWDcomplicationsherpeszosterophthalmicus/complicationshumanhivseropositivity/complicationsimmunologicdeficiencysyndromes/KWDcomplications/etiologymalesubstanceabuse,intravenous/complicationstomography,x-raycomputedjournalarticle
920228
M9220854

Copyright © 1992 - National Library of Medicine. Reproduced under license with the National Library of Medicine, Bethesda, MD.

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