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Chapter 2.6 - Varicella-Zoster Virus-Related: Cytomegalovirus (CMV) and Herpes Infections
from 2 - Infectious and Postinfectious Vasculitis
- By Asma Akbar Ladak, Mohammad Wasay
Edited by Derya Uluduz, Istanbul Üniversitesi
Anita Arsovska
Book:

Rare Causes of Stroke

Published online:

06 October 2022

Print publication:

01 September 2022, pp 137-140
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Summary

We present the case of a 36-year old male who presented with generalized tonic-clonic seizures and history of diffuse vesicular rash. In the ER, he was drowsy and disoriented with right hemiparesis. Investigations revealed IgG varicella antibodies in the CSF along with elevated homocysteine levels. MRV revealed extensive CVST in superficial sagittal sinus, right transverse sinus and superficial veins. He was treated with IV acyclovir, adequate hydration and was started on levetiracetam. He was put on low molecular weight heparin and continued on anticoagulation for 3 months. Follow up MRI showed recanalization of venous sinuses with no lesions. CVST secondary to VZV is a rare occurrence. We propose a diagnostic and treatment algorithm with our case