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Videofluoroscopy was useful in assessing the severity of the dysphagia and in making an accurate diagnosis; both laryngeal elevation and weakness of pharyngeal wall contraction were also observed. In two cases in which antiviral therapy was delayed, the outcome was poor, with increased levels of varicella-zoster virus immunoglobulin M found on enzyme immunoassay. The outcome of the condition may thus depend both on the speed of antiviral therapy commencement following onset of symptoms, and on the levels of varicella-zoster virus immunoglobulin M antibody (measured by enzyme immunoassay). Our study suggests that varicella-zoster virus should be considered in the differential diagnosis of patients with idiopathic associated laryngeal paralysis, and rapid antiviral therapy should be initiated when necessary.<\/jats:p>","DOI":"10.1017\/s0022215107000898","type":"journal-article","created":{"date-parts":[[2007,11,16]],"date-time":"2007-11-16T11:35:51Z","timestamp":1195212951000},"page":"170-176","source":"Crossref","is-referenced-by-count":38,"title":["Unilateral associated laryngeal paralysis due to varicella-zoster virus: virus antibody testing and videofluoroscopic findings"],"prefix":"10.1017","volume":"122","author":[{"given":"S-I","family":"Chitose","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H","family":"Umeno","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S","family":"Hamakawa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T","family":"Nakashima","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H","family":"Shoji","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2007,11,16]]},"reference":[{"key":"S0022215107000898_ref20","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(00)84465-7"},{"key":"S0022215107000898_ref7","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100076179"},{"key":"S0022215107000898_ref18","first-page":"814","article-title":"A case of multiple cranial neuropathy due to varicella-zoster virus infection. 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