{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T03:29:01Z","timestamp":1747193341337,"version":"3.40.5"},"reference-count":9,"publisher":"S. Karger AG","issue":"2","license":[{"start":{"date-parts":[[2014,6,27]],"date-time":"2014-06-27T00:00:00Z","timestamp":1403827200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/3.0\/"},{"start":{"date-parts":[[2014,6,27]],"date-time":"2014-06-27T00:00:00Z","timestamp":1403827200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/3.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Rep Neurol"],"abstract":"<jats:p>&lt;b&gt;&lt;i&gt;Background:&lt;\/i&gt;&lt;\/b&gt; Cerebral infarct related to varicella-zoster virus (VZV) has been reported in the literature. In addition, lateral medullary infarct (LMI) can be manifested rarely as isolated gait ataxia without other characteristic symptoms. &lt;b&gt;&lt;i&gt;Case Report:&lt;\/i&gt;&lt;\/b&gt; A 70-year-old female was admitted to our hospital because of herpes zoster on the right trigeminal nerve distribution. On the 15th hospital day, she developed sudden vertigo and fine left-beating nystagmus with axial lateropulsion to the right side, without the other usual signs of LMI (Horner syndrome, dysarthria, swallowing difficulty or hemibody sensory change). Brain MRI showed a small infarct in the far dorsolateral portion of the right rostral medulla and pontomedullary junction. Cerebrospinal fluid study showed a positive VZV IgG antibody. &lt;b&gt;&lt;i&gt;Conclusions:&lt;\/i&gt;&lt;\/b&gt; We reported a case of isolated gait ataxia as the sole manifestation of right LMI following herpes zoster on the right trigeminal distribution. A high index of clinical suspicion for concomitant central nervous system complication is necessary in patients with herpes zoster, although the concomitant neurologic symptom may be mild or less lateralized.<\/jats:p>","DOI":"10.1159\/000364998","type":"journal-article","created":{"date-parts":[[2014,6,27]],"date-time":"2014-06-27T07:01:19Z","timestamp":1403852479000},"page":"193-196","source":"Crossref","is-referenced-by-count":3,"title":["Isolated Gait Ataxia as a Sole Manifestation of Right Lateral Medullary Infarct following Ipsilateral Trigeminal Herpes Zoster"],"prefix":"10.1159","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2299-4870","authenticated-orcid":false,"given":"Seung-Jae","family":"Lee","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dong-Geun","family":"Lee","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"127","published-online":{"date-parts":[[2014,6,27]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1159\/000016110"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1179\/016164102101200870"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1007\/s10072-011-0575-7"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1212\/01.wnl.0000304747.38502.e8"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1212\/01.wnl.0000258549.13334.16"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1002\/ana.410370612"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1016\/S0387-7604(02)00005-0"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1212\/01.wnl.0000306634.51885.87"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa020841"}],"container-title":["Case Reports in Neurology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/364998","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/364998","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T17:53:52Z","timestamp":1745430832000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000364998"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,6,27]]},"references-count":9,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2014,8,1]]}},"URL":"https:\/\/doi.org\/10.1159\/000364998","archive":["Portico"],"relation":{},"ISSN":["1662-680X"],"issn-type":[{"type":"electronic","value":"1662-680X"}],"subject":[],"published":{"date-parts":[[2014,6,27]]}}}