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J Korean Bal Soc > Volume 6(2); 2007 > Article
Journal of the Korean Balance Society 2007;6(2): 230-233.
수두대상포진 바이러스 뇌막염에 의한 양측성 전정장애 1예
윤영훈, 박정호, 이태경, 성기범
순천향대학교 의과대학 신경과학교실, 순천향대학교 부천병원 신경과학교실
A Case of Bilateral Vestibulopathy Caused by Varicella-Zoster Meningitis
Young Hun Yun, Jeong Ho Park, Tae Kyeong Lee, Ki Bum Sung
Department of Neurology, College of Medicine, Soonchunhyang University, Soonchunhyang University Bucheon Hospital, Korea. sungkb@schbc.ac.kr
Among various etiologies of bilateral vestibulopathy, meningitis has rarely been reported and no case by varicellazoster meningitis. We experienced a case of bilateral vestibulopathy and aseptic meningitis developed in a 22-year old woman who was previously affected by chicken pox. She had oscillopsia and unsteadiness of gait when the typical skin lesion of chicken pox was improving. Neurootologic examination, bithermal caloric irrigation, and rotary chair test showed the result compatible with complete bilateral vestibulopathy. With mild headache and nausea, her CSF finding revealed aseptic meningitis and the serum antibody for varicella-zoster virus (VZV) was elevated. On the contrary of previous report that associated with bilateral vestibulopathy tend to poorly improved, this patient showed a favorable outcome with recovery of symptoms and caloric test.
Keywords: Bilateral vestibulopathy; Aseptic meningitis; Varicella-zoster
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