Vagal Mononeuritis Associated with Zoster Sine Herpete: A Case Report and Review of the Literature
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2026
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| author | Fadi Al Akhrass1,2, Aaliyah Brown1,2, Elshaday Sendek1,2, Gavin Cantu1,2, Benjamin Hargrave1,2, Jonah Dennis1,2, Ling Lin1,2, Lina Abdallah1 and Christina Al Akhrass3 |
| author_facet | Fadi Al Akhrass1,2, Aaliyah Brown1,2, Elshaday Sendek1,2, Gavin Cantu1,2, Benjamin Hargrave1,2, Jonah Dennis1,2, Ling Lin1,2, Lina Abdallah1 and Christina Al Akhrass3 |
| contents | <p class="MsoNormal"><strong><span>Abstract</span></strong></p> <p><span>We report a case of varicella zoster–induced vagal mononeuritis presenting with right-sided laryngeal paralysis. The patient reported a localized burning sensation in the left anterior thoracic T4–T5 dermatomes without cutaneous eruption two weeks prior to the development of dysphonia, consistent with zoster sine herpete. Cerebrospinal fluid analysis obtained through lumbar puncture detected varicella zoster viral deoxyribonucleic acid, confirming the diagnosis of herpes zoster infection. Treatment with intravenous acyclovir and glucocorticoids resulted in rapid clinical improvement and eventually complete neurological recovery. This case highlights the importance of considering varicella zoster virus reactivation in the differential diagnosis of recurrent laryngeal nerve paralysis.</span></p> |
| format | Recurso digital |
| id | zenodo_https___doi_org_10_5281_zenodo_19540670 |
| institution | Zenodo |
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| publishDate | 2026 |
| publisher | Zenodo |
| record_format | zenodo |
| spellingShingle | Vagal Mononeuritis Associated with Zoster Sine Herpete: A Case Report and Review of the Literature Fadi Al Akhrass1,2, Aaliyah Brown1,2, Elshaday Sendek1,2, Gavin Cantu1,2, Benjamin Hargrave1,2, Jonah Dennis1,2, Ling Lin1,2, Lina Abdallah1 and Christina Al Akhrass3 <p class="MsoNormal"><strong><span>Abstract</span></strong></p> <p><span>We report a case of varicella zoster–induced vagal mononeuritis presenting with right-sided laryngeal paralysis. The patient reported a localized burning sensation in the left anterior thoracic T4–T5 dermatomes without cutaneous eruption two weeks prior to the development of dysphonia, consistent with zoster sine herpete. Cerebrospinal fluid analysis obtained through lumbar puncture detected varicella zoster viral deoxyribonucleic acid, confirming the diagnosis of herpes zoster infection. Treatment with intravenous acyclovir and glucocorticoids resulted in rapid clinical improvement and eventually complete neurological recovery. This case highlights the importance of considering varicella zoster virus reactivation in the differential diagnosis of recurrent laryngeal nerve paralysis.</span></p> |
| title | Vagal Mononeuritis Associated with Zoster Sine Herpete: A Case Report and Review of the Literature |
| url | https://doi.org/10.5281/zenodo.19540670 |