ウイルス感染による迷走神経麻ひ例

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タイトル別名
  • Vagus Nerve Paralysis as a Result of Viral Infection; A Case Report.

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A 61-year-old man consulted our hospital, complaining of hoarseness and throat pain. Inspection of the larynx revealed an abnormal mass in the region of the left arytenoid and left laryngeal palsy. Laboratory data revealed slight leukocytosis and an elevation in CRP. Laryngeal carcinoma was suspected based on CTscanning, MRI, esophagography and Ga scintigraphy. Histopathological findings, however, showed only inflammation. A few days after the patient's first visit, left soft palate paralysis and severe hiccups appeared. Jugular foramen syndrome was suspected, but no abnormal mass was detected by MRI. Examination of serum viral titers revealed varicella-zoster virus antibody to be increased by 128 times, and vagal nerve paralysis caused by the varicella-zoster virus was highly suspected. Following therapy, the abnormal mass in the larynx disappeard, but the patient's laryngeal palsy remains.

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