6533b82ffe1ef96bd1295359
RESEARCH PRODUCT
Hemichorea associated with varicella-zoster reinfection and endocarditis. A case report.
Raimund ErbelG. KrämerB. HenkelHammann Kpsubject
AdultMyoclonusmedicine.medical_specialtyHerpesvirus 3 HumanHeart diseasevirusesmedicine.medical_treatmentAntibodies ViralGastroenterologyHerpes ZosterVirusFunctional LateralityChoreaInternal medicinemedicineEndocarditisHumansPharmacology (medical)EmbolizationAthetosisBiological PsychiatryEndocarditisbusiness.industryGeneral Neurosciencevirus diseasesChoreaGeneral Medicinemedicine.diseaseSurgeryPsychiatry and Mental healthTiterNeuropsychology and Physiological PsychologyEchocardiographyImmunoglobulin GFemaleViral diseasemedicine.symptombusinessEncephalitisdescription
A 20-year-old woman developed transient right-sided hemichoreatic movements after household exposure to varicella-zoster. Some days before the appearance of involuntary movements a vesicular rash had occurred. About 6 months later an elevated IgG serum titer against varicella virus was found and two-dimensional echocardiography showed signs of an endocarditis. During the following 2 months the IgG value returned to within the normal range and the choreatic movements disappeared almost totally. The possibility is discussed that endocarditis had been caused and maintained by serum antibodies to varicella-zoster virus which cross-reacted with valvular tissue. Embolization to the region of the left striatum and/or post-infectious encephalitis in this region are assumed to be the most plausible causes of the transient hemichorea.
| year | journal | country | edition | language |
|---|---|---|---|---|
| 1985-06-01 | European archives of psychiatry and neurological sciences |