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STEPHEN O. KOVACS; KARL KUBAN, MD, SM EPI
Department of Neurology

ROY STRAND, MD
Department of Radiology Children's Hospital Harvard Medical School 300 Longwood Ave Boston, MA 02115

Am J Dis Child. 1993;147(8):823-825.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Sir.—Central nervous system complications of varicella infection have been well documented and involve a spectrum of diseases that includes cerebral and cerebellar encephalitis, encephalomyelitis, polyneuritis, brain purpura, hemorrhagic necrotizing leukoencephalitis, Reye's syndrome, and cerebral infarction.^1-3 These consequences of primary varicella infection are rare, and only six cases of delayed hemiparesis in healthy patients have been reported in the English literature.^4-6

We report the acute onset of lateral medullary syndrome (Wallenberg's syndrome) in a 6-year-old boy 32 days after a primary varicella infection. Although Wallenberg's syndrome is the most common brain-stem complica

Left, Magnetic resonance imaging, approximately 5 weeks after the varicella infection. Axial T₂-weighted image (TR 2000, TE 80, 5-mm slice thickness) at the level of the medulla oblongata. The high T₂ signal in the lateral one third of the medulla is readily identified (arrow). Right, Magnetic resonance imaging, 7 months after the presentation, . . . [Full Text PDF of this Article]

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