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Evidence for Vascular Spread of Varicella Zoster–Associated Vasculopathy

Takeshi Saraya, MD; Chie Shimura, MD; Hiroo Wada, MD, PhD; Masahiro Aoshima, MD, PhD; and Hajime Goto, MD, PhD
[+] Article, Author, and Disclosure Information

From Kyorin University School of Medicine, Mitaka City, Tokyo 181-8611, Japan.

Potential Financial Conflicts of Interest: None disclosed.

Ann Intern Med. 2006;144(7):535-537. doi:10.7326/0003-4819-144-7-200604040-00022
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Magnetic resonance angiography and imaging in an immunocompromised patient with varicella zoster virus–associated cerebrovasculopathy.A.arrowsB.1arrowsC.

Magnetic resonance angiography demonstrates multiple aneurysms along cerebral arteries ( ) primarily localized in the peripheral smaller arteries and a stenotic lesion in the middle cerebral artery. Contrast-enhanced T -weighted image shows multiple enhanced lesions of cerebral arteries ( ). Fluid-attenuated inversion recovery sequence shows multiple areas of higher-intensity perivascular areas in subcortical regions, which suggests angioedema.

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