水痘带状疱疹病毒脊髓炎1例报告并文献复习

Varicella-Zoster Virus Myelitis:One Case Report and a Review of Literature

目的:本文报告1例病前健康的70岁妇女皮肤带状疱疹后罹患水痘带状疱疹病毒脊髓炎(VZVM)患者。方法:复习国内、外关于VZVM的文献,并结合本例患者的临床症状予以回顾性分析。结果:本例患者MRI与临床脊髓受侵部位相对应。结论:阿昔洛韦是VZVM最常用的治疗药物。VZVM患者的预后不一致。

Aim： A previously healthy 70 year-old woman who developed attacks of myelopathy after the characteristic skin rashes of herpes zoster was presented. Methods： The clinical characteristics of 1 case of varicellazoster virus myelitis were retrospectively analyzed. Results ： The patient appeared to be unique in that each spinal cord lesion demonstrated on magnetic resonance imaging（MRI） was preceded by a typical skin lesion of herpes zoster at the same spinal segment. Conclusion： Aciclovir is a therapy most often used for the treatment of zoster myelitis, but the prognosis is quite variable from benign to poor prognosis