Indian Journal of Medical Specialities Trust
 
Case Report
 
Postvaricella multiaxial nervous system involvement in an immunocompetent adult female: an unusual presentation
 
Bhupender Kumar Bajaj*, Prahlad Karki**
* Department of Neurology, PGIMER & Dr. RML Hospital, New Delhi, India.
  Formerly, Assistant Professor (Neurology) at BP Koirala Institute of Health Sciences, Dharan, Nepal
** Department of Medicine, B. P. Koirala Institute of Health Sciences, Dharan, Nepal

Corresponding Author: Dr. B. K. Bajaj, Assistant Professor (Neurology), Department of Neurology, PGIMER & Dr. RML Hospital, New Delhi, E mail: docbajaj@yahoo.co.in
Abstract

Post-chickenpox neurological complications have been reported mostly in paediatric population and immunocompromised adult individuals. Extensive multiple site neuraxis involvement is not common in immunocompetent adults. Treatment of these complications of varicella zoster infections is not settled as the exact pathogenesis is still elusive. We report a case of 28-year old immunocompetent female who presented with sensory and cerebellar ataxia with autonomic dysfunction and non-paralytic squint 2 weeks after the onset of fever associated with chicken pox eruptions. The patient was managed with steroids and acyclovir with favourable response.

Key words: chickenpox, varicella-zoster virus, cerebellum, neuritis, polyradiculoneuropathy, dysautonomias

 
 
Copyright © Indian Journal of Medical Specialities Trust