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Free Content Long-Term MRI Signal Change in the Spinal Trigeminal Nucleus and Tract After Ramsay Hunt Syndrome and Trigeminal Herpes Zoster

Ramsay Hunt syndrome is a rare neurologic disorder caused by varicella zoster virus (VZV). The association with trigeminal herpes zoster is rare and only a few cases have been reported in the literature. We report a case of a VZV infection affecting first the glossopharyngeal nerve before subsequently causing Ramsay Hunt syndrome, trigeminal herpes zoster, VIII cranial nerve neuropathy, C2 neuropathy, and postherpetic neuralgia. MR imaging-signal intensity‐intensity abnormalities were seen and followed in the spinal trigeminal nucleus and tract (STNT).

Keywords: STNT = spinal trigeminal nucleus and tract; VZV = varicella zoster virus

Document Type: Research Article

Publication date: 01 March 2015

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  • Neurographics is the peer-reviewed, quarterly educational journal of the American Society of Neuroradiology. The journal includes review articles as well as high-yield case reports that have been solicited from society meetings, including the annual meeting of the ASNR as well as the American Society of Spine Radiology, the American Society of Pediatric Neuroradiology, the American Society of Functional Neuroradiology, and the American Society of Head and Neck Radiology meetings. Unsolicited educational review articles and case reports are also accepted for review at the discretion of the Editor-in-Chief. Submissions focusing on a pictorial approach to educational objectives are highly encouraged. The journal is open access and available online. CME credit is offered for reading review articles and completing activity evaluations through the ASNR Education Connection website: https://www.pathlms.com/asnr
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