PT -期刊文章盟丹尼尔哦AU -布莱恩LaGrant盟Chi-Chang林大卫TI -吞咽困难作为初始的水痘带状疱疹病毒脑膜炎:一个案例报告(385)DP - 2020年4月14日TA -神经病学PG - 385 VI - 94 IP - 15补充4099 - //www.ez-admanager.com/content/94/15_Supplement/385.short 4100 - http:/首页/www.ez-admanager.com/content/94/15_Supplement/385.full所以Neurology2020 4月14日;94 AB -目的:报告非典型的水痘带状疱疹病毒(带状疱疹)脑膜炎。背景:水痘带状疱疹病毒(带状疱疹)脑膜炎通常呈现类似于脑膜炎由其他病毒引起,症状如发烧、颈部僵硬,畏光。水泡疹演讲前的一个月可能表明能致病病原体。设计/方法:NAResults:一个78岁的免疫活性的人最初出现吞咽困难和7天一个负面评论系统(无前驱症状或皮疹),在发展中声音沙哑。假定喉镜检查后诊断是正确post-viral声襞瘫痪(PVVFP),但这并没有改善口服类固醇。耳鼻喉科再次评估病人,发现正确的口感高程差和池的分泌物对梨状窦(表明右咽无力),符合颅神经(CN) IX-X麻痹。症状没有波动,不包括疼痛或感觉运动赤字。吞咽困难/言语障碍发作11天后,病人敏锐地开发了一种对低运动神经元面部下垂(CN七世),但紧急头成像是负面的。给定一个广泛的鉴别诊断,一个广泛的诊断检查是发送和消极的,除了腰椎穿刺(LP)显示高蛋白质,脑脊液细胞增多,和积极的水痘带状疱疹病毒(带状疱疹)的聚合酶链反应(PCR)脑脊液(CSF)。 Patient was started on high-dose intravenous acyclovir, 12 days after the onset of dysphagia. Neurologic exam was stable after starting acyclovir, however his dysphagia remained severe, thus a gastric tube was placed for tube feeds. Throughout the course of his hospitalization, the patient did not experience significant neurologic improvement.Conclusions: VZV meningitis can initially present with dysphagia. Early diagnosis is critical to early treatment and improved neuro-recovery.Disclosure: Dr. Oh has nothing to disclose. Dr. LaGrant has nothing to disclose. Dr. Lin has nothing to disclose.