To the Editor.
—I read with great interest the article by Caekebeke et al.1 They carefully document a case of a 5-year-old boy who suffered from an acute hemiparesis 3 and 9 months after a chickenpox infection.However, I disagree with their contention that this association had not been previously reported. Earlier, Holmes and I2 described a 3½-year-old boy who developed a hemiparesis 1 month after a varicella infection. Eda et al3 in 1983 had already reported four similar cases, and then Kamholz and Tremblay4 documented another.The ages of the six patients2-4 ranged from 1 to 6 years of age, and the time between onset of varicella and onset of hemiparesis varied from 1 to 3 months. Cranial imaging studies revealed infarcts involving the basal ganglia and internal capsule in all six cases. Caekebeke and coworkers' patient1 differs slightly because he had two
Liu GT. Delayed Varicella Vasculopathy. Arch Neurol. 1991;48(9):900. doi:10.1001/archneur.1991.00530210026013
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