A case of intracranial saccular aneurysm after primary varicella zoster virus infection

Masao Kawatani; Akio Nakai; Takashi Okuno; Hirokazu Tsukahara; Yusei Ohshima; Mitsufumi Mayumi

doi:10.1016/j.braindev.2011.01.009

A case of intracranial saccular aneurysm after primary varicella zoster virus infection

Masao Kawatani, Akio Nakai, Takashi Okuno, Hirokazu Tsukahara, Yusei Ohshima, Mitsufumi Mayumi

Research output: Contribution to journal › Article

6 Citations (Scopus)

Abstract

We report a case of intracranial saccular aneurysm that developed 3. years after post-varicella ischemic stroke. A 6-year-old girl without apparent immunologic defects presented with right hemiparesis and expressive aphasia 1. month after chickenpox. Her magnetic resonance imaging scans revealed left basal ganglia infarction because of left lenticulostriate artery occlusion. Although her neurologic symptoms improved gradually, segmental irregular narrowing remained in the A1 and M1 segments of the left anterior and middle cerebral arteries, respectively. Three years later, the follow-up magnetic resonance angiography indicated saccular aneurysm in the anterior communicating artery and the anti-VZV IgG antibody index in the cerebrospinal fluid was elevated. Subclinical reactivation of VZV and the segmental vascular narrowing might cause intracranial aneurysm, even in immunocompetent children.

Original language	English
Pages (from-to)	80-82
Number of pages	3
Journal	Brain and Development
Volume	34
Issue number	1
DOIs	https://doi.org/10.1016/j.braindev.2011.01.009
Publication status	Published - Jan 1 2012
Externally published	Yes

Keywords

Aneurysm
Cerebral infarction
Post-varicella angiopathy
Varicella

ASJC Scopus subject areas

Pediatrics, Perinatology, and Child Health
Developmental Neuroscience
Clinical Neurology

Access to Document

10.1016/j.braindev.2011.01.009

Fingerprint Dive into the research topics of 'A case of intracranial saccular aneurysm after primary varicella zoster virus infection'. Together they form a unique fingerprint.

Cite this

Kawatani, M., Nakai, A., Okuno, T., Tsukahara, H., Ohshima, Y., & Mayumi, M. (2012). A case of intracranial saccular aneurysm after primary varicella zoster virus infection. Brain and Development, 34(1), 80-82. https://doi.org/10.1016/j.braindev.2011.01.009

@article{2103f1971f9d49b281d5549ef8b3f2e4,

title = "A case of intracranial saccular aneurysm after primary varicella zoster virus infection",

abstract = "We report a case of intracranial saccular aneurysm that developed 3. years after post-varicella ischemic stroke. A 6-year-old girl without apparent immunologic defects presented with right hemiparesis and expressive aphasia 1. month after chickenpox. Her magnetic resonance imaging scans revealed left basal ganglia infarction because of left lenticulostriate artery occlusion. Although her neurologic symptoms improved gradually, segmental irregular narrowing remained in the A1 and M1 segments of the left anterior and middle cerebral arteries, respectively. Three years later, the follow-up magnetic resonance angiography indicated saccular aneurysm in the anterior communicating artery and the anti-VZV IgG antibody index in the cerebrospinal fluid was elevated. Subclinical reactivation of VZV and the segmental vascular narrowing might cause intracranial aneurysm, even in immunocompetent children.",

keywords = "Aneurysm, Cerebral infarction, Post-varicella angiopathy, Varicella",

author = "Masao Kawatani and Akio Nakai and Takashi Okuno and Hirokazu Tsukahara and Yusei Ohshima and Mitsufumi Mayumi",

year = "2012",

month = jan,

day = "1",

doi = "10.1016/j.braindev.2011.01.009",

language = "English",

volume = "34",

pages = "80--82",

journal = "Brain and Development",

issn = "0387-7604",

publisher = "Elsevier",

number = "1",

}

TY - JOUR

T1 - A case of intracranial saccular aneurysm after primary varicella zoster virus infection

AU - Kawatani, Masao

AU - Nakai, Akio

AU - Okuno, Takashi

AU - Tsukahara, Hirokazu

AU - Ohshima, Yusei

AU - Mayumi, Mitsufumi

PY - 2012/1/1

Y1 - 2012/1/1

N2 - We report a case of intracranial saccular aneurysm that developed 3. years after post-varicella ischemic stroke. A 6-year-old girl without apparent immunologic defects presented with right hemiparesis and expressive aphasia 1. month after chickenpox. Her magnetic resonance imaging scans revealed left basal ganglia infarction because of left lenticulostriate artery occlusion. Although her neurologic symptoms improved gradually, segmental irregular narrowing remained in the A1 and M1 segments of the left anterior and middle cerebral arteries, respectively. Three years later, the follow-up magnetic resonance angiography indicated saccular aneurysm in the anterior communicating artery and the anti-VZV IgG antibody index in the cerebrospinal fluid was elevated. Subclinical reactivation of VZV and the segmental vascular narrowing might cause intracranial aneurysm, even in immunocompetent children.

AB - We report a case of intracranial saccular aneurysm that developed 3. years after post-varicella ischemic stroke. A 6-year-old girl without apparent immunologic defects presented with right hemiparesis and expressive aphasia 1. month after chickenpox. Her magnetic resonance imaging scans revealed left basal ganglia infarction because of left lenticulostriate artery occlusion. Although her neurologic symptoms improved gradually, segmental irregular narrowing remained in the A1 and M1 segments of the left anterior and middle cerebral arteries, respectively. Three years later, the follow-up magnetic resonance angiography indicated saccular aneurysm in the anterior communicating artery and the anti-VZV IgG antibody index in the cerebrospinal fluid was elevated. Subclinical reactivation of VZV and the segmental vascular narrowing might cause intracranial aneurysm, even in immunocompetent children.

KW - Aneurysm

KW - Cerebral infarction

KW - Post-varicella angiopathy

KW - Varicella

UR - http://www.scopus.com/inward/record.url?scp=83955164304&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=83955164304&partnerID=8YFLogxK

U2 - 10.1016/j.braindev.2011.01.009

DO - 10.1016/j.braindev.2011.01.009

M3 - Article

C2 - 21382679

AN - SCOPUS:83955164304

VL - 34

SP - 80

EP - 82

JO - Brain and Development

JF - Brain and Development

SN - 0387-7604

IS - 1

ER -