Pediatric Neurology
Volume 32, Issue 3 , Pages 211-212, March 2005

Zoster-associated intracranial hypertension

  • John J. Millichap, MD

      Affiliations

    • Departments of Pediatrics and Internal Medicine, Brody School of Medicine at East Carolina University, Greenville, North Carolina
  • ,
  • Jeremy L. Freeman, MBBS

      Affiliations

    • Division of Neurology, Children’s Memorial Hospital and Northwestern University Medical School, Chicago, Illinois
    • Corresponding Author InformationCommunications should be addressed to:Dr. Freeman; Division of Neurology; Children’s Memorial Hospital; 2300 Children’s Plaza; Box 51; Chicago, IL 60614

Received 3 May 2004; accepted 8 September 2004. published online 17 December 2004.

A 14-year-old female presented with headache, vomiting, and a rash. She was found to have papilledema and herpes zoster. Examination of the cerebrospinal fluid revealed pleocytosis and an elevated protein concentration. Varicella-zoster virus deoxyribonucleic acid was detected in the cerebrospinal fluid by polymerase chain reaction. Intracranial hypertension was treated by repeated lumbar puncture and with acetazolamide. This case represents an unusual complication of the reactivation of varicella-zoster virus.

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PII: S0887-8994(04)00457-6

doi:10.1016/j.pediatrneurol.2004.09.002

Pediatric Neurology
Volume 32, Issue 3 , Pages 211-212, March 2005