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Case Reports
. 1980 Apr;37(4):239-40.
doi: 10.1001/archneur.1980.00500530077013.

Pathogenesis of varicella-zoster angiitis in the CNS

Case Reports

Pathogenesis of varicella-zoster angiitis in the CNS

C C Linnemann Jr et al. Arch Neurol. 1980 Apr.

Abstract

A 20-year-old man with Hodgkin's disease experienced ophthalmic zoster with dissemination and CNS involvement. At autopsy, he was found to have granulomatous angiitis involving the basilar artery, and electron microscopy revealed virus-like particles in the outer layers of the vessel walls, but not the endothelium. This suggests that granulomatous angiitis of the CNS in varicella-zoster infections results from direct viral invasion of blood vessels, perhaps by contiguous spread from cranial nerves.

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