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Title: [A case of facial diplegia in associated with reactivation of herpes simplex virus type I]. Author: Tsukaguchi M, Yamada A, Sasaki I, Deguchi K, Takeuchi H. Journal: Rinsho Shinkeigaku; 1995 Jan; 35(1):70-2. PubMed ID: 7781219. Abstract: A 27-year-old Japanese man developed right peripheral facial palsy after suffering from a cold and low-grade fever for 7 days. Left peripheral palsy developed 4 days later. When he visited our hospital 3 days after that, neurological examination revealed no abnormalities except peripheral facial diplegia. Cerebrospinal fluid (CSF) was normal on admission and on hospital day 12. On admission, the patient had a transient increase of serum titers of HSV type I IgM (fluorescence assay). Then, serum titers of HSV type I IgG (ELISA) continuously increased. A diagnosis of peripheral facial diplegia due to reactivation of HSV type I was made clinically and serologically. Steroid pulse therapy was performed and his facial diplegia disappeared completely after 2 weeks. This case may support the hypothesis of virus etiology of Bell's palsy, and HSV type I should be considered as one of the possible causes of facial diplegia.[Abstract] [Full Text] [Related] [New Search]