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幼儿急性偏瘫综合征分为原发性和继发性两种,继发性偏瘫的原因包括感染、外伤、全身性疾病、心功能障碍、脑血管畸形、脑肿瘤、线粒体疾病和癫痫状态等.病毒感染引起的急性偏瘫报道很少,而且仅见于单纯疱疹病毒、肠病毒和麻疹病毒.水痘带状疱疹病毒(VZV)也可引起神经系统并发症,例如痫性发作、脑膜炎、脑脊髓炎、小脑共济失调和脊髓炎,但引起急性偏瘫尚无报道.作者报道一例5岁的男孩,出水痘后3个月突然右侧偏瘫,脑血管造影的特征类似眼部带状疱疹(HZO)脑血管病,实验室检查现发鞘内VZV特异性寡克隆IgG
Children with acute hemiplegia syndrome is divided into primary and secondary, secondary causes of hemiplegia, including infection, trauma, systemic disease, cardiac dysfunction, cerebrovascular malformations, brain tumors, mitochondrial diseases and epileptic status. Acute hemiplegia caused by a viral infection is rarely reported and is found only in herpes simplex, enterovirus and measles viruses. Varicella-zoster virus (VZV) can also cause neurological complications such as seizures, meningitis, encephalomyelitis , Cerebellar ataxia and myelitis, yet no reports of acute hemiplegia have been reported. The authors report a 5-year-old boy who suddenly developed right hemiplegia 3 months after varicella. Cerebrovascular angiography was characterized by a similar pattern of ocular herpes zoster (HZO) Cerebral vascular disease, laboratory tests were issued VZV sheath specific oligoclonal IgG