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KMID : 0860920040060020209
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Journal of the Korean Association EMG-Electrodiagnostic Medicine
2004 Volume.6 No. 2 p.209 ~ p.212
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A Case of Vagus Nerve Palsy Caused by Herpes Simplex Virus Reactivation
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Lee Sang-Il
Pyun Sung-Bom
Na Hyo-Jin
Koo Jung-Hoi
Lee Su-Sup
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Abstract
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Vagus nerve palsy caused by herpes simplex virus (HSV) reinfection is rare. A 44-year old man visited
hospital due to acute symptom of hoarseness and dysphagia. Laryngoscopy revealed left vocal cord palsy,
and videofluoroscopic swallowing study revealed severe dysphagia during pharyngeal phase and electrodiagnostic
study showed left recurrent laryngeal neuropathy. Brain and neck MRI, esophageal endoscopy
and chest CT showed no localized lesion. Cerebrospinal fluid analysis was normal, but serum HSV IgG
antibody titer was elevated. Therefore, we prescribed famciclovir for 7 days, and he showed improvement
on hoarseness and dysphagia at discharge.
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KEYWORD
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Vagus nerve palsy, Herpes simplex virus, Hoarseness, Dysphagia
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