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. 2025 Oct 11;46(12):6721–6731. doi: 10.1007/s10072-025-08550-8

Table 1.

Comparison of published cases of VZV-vasculitis-related chorea and our patient showing diverse presentations, different diagnostic measures, methods of treatment and its effects. The table has been arranged chronologically, in order of publication date

no. Authors Age, sex Affected side Time from VZV infection to hemichorea Varicella vaccination status Other clinical manifestations Lesion location (MRI) Affected vessels (MRA) Side of described lesions Laboratory findings - serum Laboratory findings - CSF Treatment Clinical recovery time
1 Klaus P Hammann et al. [15] 20, F R 2 weeks not available (N/A)

myoclonic-like movements of arm and face

paraesthesiae of fingers

motor aphasia

pyramidal syndrome

N/A N/A N/A (+) anti-VZV IgG low protein content carbamazepine N/A
2 Silerstein et al.[16] 6 R 2–3 months N/A

facial weakness

hemiparesis

globus pallidus

caudate nucleus

frontal lobe

ICA

ACA (A1)

MCA (M1)

L (-) anti-VZV IgG 9 white blood cells/mm3 glucocorticoids N/A
3 Miravet et al.[17] 4 N/A N/A N/A transient hemifacial weakness

basal ganglia

white matter

MCA N/A N/A N/A N/A N/A
4 Miravet et al.[17] 5 L N/A N/A hemiparesis basal ganglia

MCA

ACA

N/A N/A N/A N/A N/A
5 Buompadre et al.[18] 4, F N/A N/A N/A hemiparesis

lentiform nucleus

caudate nucleus

internal capsule

MCA (M1) N/A N/A N/A N/A N/A
6 Bartolini et al.[19] 3, M R 15 days N/A none

caudate nucleus

lenticular nucleus

MCA L

(+) IgG and IgM Ab against VZV

(+) anti-protein S IgG and IgM antibodies

N/A ASA N/A
7 Bartolini et al.[19] 4, F R 7 months N/A none

caudate nucleus

lenticular nucleus

internal capsule

ACA (A1)

MCA (M1)

L + R

(+) IgG Ab against VZV

(-) IgM Ab against VZV

N/A

ASA

valproic acid

N/A
8 Bauder et al.[20] 6,F N/A N/A N/A headache N/A

MCA

PCA

N/A N/A (+) VZV-DNA PCR

acyclovir

glucocorticoids

N/A
9 Hackenberg et al.[21] 4, M N/A N/A N/A

gait disorder

dysphasia

facial weakness

mood disorder

putamen

ICA

MCA

ACA

R N/A (-) VZV-DNA PCR

acyclovir

ASA

glucocorticoids

cyclophosphamide

N/A
10 Bulder et al. [22] 2, M R 2 months N/A none

caudate nucleus

putamen

ICA

ACA

MCA (M1-M3)

L N/A (-) VZV-DNA PCR ASA 1 month
11 Bulder et al. [22] 3, F L 7 months N/A none

caudate nucleus

putamen

MCA

ACA

R N/A N/A ASA 3 weeks
12 Spagnoli et al. [23] 5, F L 5 months unvaccinated

trigeminal autonomic pain

vomiting

hemifacial grimaces

lingual dyskinesias

hypotonia

hyposthenia

exaggerated

knee reflex

lentiform nucleus

internal capsule

caudate nucleus

ACA (A1) R (+) IgG Ab against VZV N/A

acyclovir

ASA

valproic acid

N/A
13 Davico et al.[24] 3, M R 6 months N/A none

lentiform nucleus

internal capsule

none L (+) anti-VZV IgG N/A

ASA

prednisone

haloperidol

3 weeks
14 Davico et al.[24] 3, M L 4 months N/A none

thalamus

internal capsule

ICA

MCA

R (+) anti-VZV IgG N/A

ASA

prednisone

haloperidol

3 weeks
15 Helmuth et al.[25] 4, M R 8 months N/A hemiparesis basal ganglia none L N/A

(+) VZV-DNA PCR

(+) IgG Ab against VZV

acyclovir

ASA

glucocorticoids

N/A
16 Helmuth et al.[25] 5, M R 6 months N/A dysarthria temporal lobe ICA L N/A

(+) VZV-DNA PCR

(+) IgG Ab against VZV

acyclovir

ASA

glucocorticoids

N/A
17 Helmuth et al.[25] 5, M L 4 months N/A hemiparesis white matter

MCA

ACA

ICA

R N/A

(+) VZV-DNA PCR

(-) IgG Ab against VZV

acyclovir

ASA

N/A
18 Elbishari et al.[26] 1, M N/A 5 months N/A

upper extremity monoparesis

intermittent ataxia

globus pallidus

MCA

ACA

L N/A (-) VZV-DNA PCR N/A N/A
19 Bertamino et al.[27] 6, F R 7 months unvaccinated none thalamus none L (+) IgG Ab against VZV

(+) IgG Ab against VZV

(-) VZV-DNA PCR

acyclovir

ASA

methylprednisolone

N/A
20 O’Reilly et al. [28] 1, M N/A 5 months unvaccinated

upper extremity monoparesis

ataxia

globus pallidus

MCA

ACA

L N/A (+) VZV-DNA PCR

acyclovir

ASA

methylprednisolone

N/A
21 Bertanimo et al. [29] 5, F N/A 9 months unvaccinated none basal ganglia none N/A N/A

(+) IgG Ab against VZV

(-) VZV-DNA PCR

low protein content

acyclovir

ASA

glucocorticoids

N/A
22 Bertanimo et al. [29] 4, M N/A 8 months unvaccinated none

frontal lobe

basal ganglia

ICA

MCA (M1)

ACA (A1)

R N/A (+) VZV-DNA PCR

acyclovir

ASA

prednisone

N/A
23 Schwidetzky et al. [30] 6,F L 4 months N/A hemiparesis N/A MCA (M1) R N/A

(+) VZV-DNA PCR

(+) IgG Ab against VZV

acyclovir

methylprednisolone

N/A
24 Our patient 8, M R 6 months Unvaccinated

headaches

transient facial weakness

slurred speech

tongue deviation

putamen

internal capsule

subcortical white matter

none L

(+) IgG Ab against VZV

marginally negative IgM Ab against VZV

(+) VZV-DNA PCR

acyclovir

ASA

glucocorticoids

2 weeks