Abstract Introduction Although localized weakness and wasting following herpes zoster are well recognized, cases with severe involvement of the spinal cord and brain are uncommon. Death from herpes zoster is even rarer, and Boudin and his colleagues 1 found only seven records of autopsied cases in the literature and added one of their own. Because of the paucity of these cases, we report another autopsied case of zoster encephalomyelitis. Report of Case A bulldozer driver (NHQS No. 88858), aged 51, was admitted to the National Hospital, Queen Square, under the care of Dr. Denis Brinton on Oct 23, 1959. His chief complaint was paralysis of the legs with lack of feeling in the trunk. He had had a partial gastrectomy for a duodenal ulcer ten years before admission; there was no other relevant past history or family history.He had been well until Oct 13, 1959, when he developed a painful References 1. 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De Besche, A.: Herpes zoster mit pathologischanatomischen Veränderungen in Rückenmark , Zbl allg Path 21:897-904, 1910 9. Thalimer, W.: Herpes Zoster: Central Nervous System Lesions Similar to Those of Epidemic (Lethargic) Encephalitis: Report of Case , Arch Neurol Psychiat (Chicago) 12:73-79, 1924.Crossref 10. Biggart, J. H., and Fisher, J. A.: Meningo-Encephalitis Complicating Herpes Zoster , Lancet 2:944-945, 1938.Crossref 11. Paraf, J.; Mafei, W. E.; and Lewi, S.: Sur un cas d'encéphalite post-zonateuse , Bull Soc Méd Hôp Paris 55:1169-1177, 1939. 12. Hassin, G. B., and Rabens, I. D.: Herpetic Meningo-Encephalitis: Clinical Pathological Report of Case , J Neuropath Exp Neurol 3:355-367, 1944.Crossref 13. Krumholz, S., and Luhan, J. A.: Encephalitis Associated With Herpes Zoster , Arch Neurol Psychiat (Chicago) 53:59-67, 1945.Crossref 14. Schmidt, W.: Wirkung des Strophanthins auf die Koronardurchblutung im Zusammenhang mit den sensiblen Erscheinungen in der Herzgegend Betrachtet , Deutsch Med Wschr 71:58-61, 1946.Crossref 15. Bellavitis, A.: Nevrassite da herpes-zoster: contributo clinica-anatomico , Riv Neurol 4:337-362, 1931. 16. Denny-Brown, D.; Adams, R. D.; and Fitzgerald, P. J.: Pathologic Features of Herpes Zoster: Note on "Geniculate Herpes," Arch Neurol Psychiat (Chicago) 51:216-231, 1944.Crossref 17. Schiff, C. I., and Brain, W. R.: Acute Meningo-Encephalitis Associated With Herpes Zoster: Fatal Case , Lancet 2:70-71, 1930.Crossref 18. Susic, Z., et al: Le zona ses manifestions névraxiques cliniques , Encéphale 46:699-707, 1957. 19. Castel, J.: Sur un nouveau cas d'atteinte du nevraxe dans le zona , Thése, Lyon Bosc Fréres, 1935. 20. Gordon, I. R. S., and Tucker, J. F.: Lesions of Central Nervous System in Herpes Zoster , J Neuropsychiat 8:40-46, 1945. 21. McCormick, G. W.: Encephalitis Associated With Herpes Zoster , J Pediat 30:473-474, 1947.Crossref 22. Whitty, C. W. M., and Cooke, A. M.: Some Unusual Complications of Herpes Zoster , J Neurol Psychiat 12:152-154, 1947.Crossref 23. Cope, S., and Thelwall Jones, A.: Hemiplegia Complicating Ophthalmic Zoster , Lancet 2:898-899, 1954.Crossref 24. McAlpine, D., et al: Acute Demyelinating Disease Complicating Herpes Zoster , J Neurol (London) 22:120-123, 1959. 25. Bruce, A.: Unusual Sequela of Herpes Zoster (Posterior Poliomyelitis) , Rev Neurol Psychiat 5:885-896, 1907. 26. Worster-Drought, C., and McMenemey, W. L.: Paresis of Upper Motor Neurone Type Following Herpes Zoster , J Neurol Psychopath 14:52-56, 1934. 27. Chauffard, A., and Froin, G.: Nature, evolution et durée de la réaction méningée dans le zona , Bull Soc Méd Hôp Paris 19:994-1005, 1902. 28. Chauffard, A., and Rendu, H.: Méningite zonateuse tardive dans un case de zona ophtalmique , Bull Soc Méd Hôp Paris 24:141-145, 1907. 29. Burgoon, C. F.; Burgoon, J. S.; and Baldridge, G. D.: Natural History of Herpes Zoster , JAMA 164:265-269, 1957.Crossref 30. Karman, G. R.: Herpes Zoster as an Early Symptom of Spinal Cord Tumor , JAMA 91:320-321, 1928. 31. Adie, W. J.: Lancet 1:124, 1926.Crossref 32. Scott, R.: Leukaemia , Lancet 1:1053-1057, 1099-1103, 1162-1167, 1957.Crossref 33. Alajouanine, T., and Griffith, B.: Sclérose en plaques précedée d'une eruption zostérienne avec paralysie crurale , Rev Neurol 1:84-87, 1931. 34. Garrow, R. P.: Are Poliomyelitis and Herpes Zoster the Same Disease? Brit Med J 1:621-622, 1911.Crossref 35. Head, H., and Campbell, A. W.: Pathology of Herpes Zoster and Its Bearing on Sensory Localization , Brain 23:353-523, 1900.Crossref 36. Lhermitte, J., and Vermes, V.: Les lesions du systeme nerveux central dans le zona , Rev Neurol 1:1231-1236, 1930. 37. Hoffman, H. L.: Acute Necrotic Myelopathy , Brain 78:377-393, 1955.Crossref 38. Appelbaum, E.; Kreps, S. I.; and Sunshine, A.: Herpes Zoster Encephalitis , Amer J Med 32:25-31, 1962.Crossref 39. Roger, H.; Poursines, Y.; and Paillas, J.: Origine zostérienne probable d'un poliomesencephalo myélite subaigue , Rev Otoneuroophtal 16:176-179, 1938. 40. Cheatham, W. J.: The Relation of Heretofore Unreported Lesions to Pathogenesis of Herpes Zoster , Amer J Path 29:401-412, 1953. 41. Arthus, M.: Injections répétées de sérum de cheval chez le lapin , C R Soc Biol (Paris) 55:817-820, 1903. 42. Chase, M. W.: in " Allergic Encephalomyelitis ," Marian W. Kies and E. C. Alvord, Jr., ed., Springfield, Ill: Charles C Thomas, 1959, p 348. 43. Astrom, K. E., and Waksman, B. H.: Passive Transfer of Experimental Allergic Encephalomyelitis and Neuritis With Living Lymphoid Cells , J Path Bact 83:89-106, 1962.Crossref 44. Miller, H. G.: In Modern Trends in Neurology , 2nd Series, D. Williams, ed., London: Butter-worth, 1957, pp 164-176. 45. Roith, A. I.: Herpes Zoster After Fractured Spine Complicating ECT , Brit Med J 2:865, 1956.Crossref 46. Künstler, W. E.: Beitrag zu der Frage der traumatischen Entstehung des Herpes zoster , Schweiz Med Wschr 67:900-902, 1937. 47. Jadassohn, W.: Zoster nach peripherem Trauma , Schweiz Med Wschr 68:93, 1938. 48. Bernard, R.: Zona et traumatisme , Bruxelles Méd 18:83-85, 1937. 49. Parfitt, D. N.: Herpes Zoster as a Sequel to Lightning Trauma , Brit Med J 1:111, 1936.Crossref 50. Mendel, K.: Herpes Zoster Nach Unfall , Neurol Zbl 33:859, 1914. 51. Netter, A., and Ernoul, J.: Zona dans le territoire du médian gauche vingt-six jours aprés une légére piqûre a l'extrémité du médian gauche au cours d'un éviscération d'un globe oculaire atteint de fonte purulente de la comée suite d'un zona ophtalmique , Bull Soc Méd Hôp Paris 50:798-800, 1934. 52. Klauder, J. V.: Herpes Zoster Appearing After Trauma , JAMA 134:245-248, 1947.Crossref 53. 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Archives of Neurology – American Medical Association
Published: Aug 1, 1964
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