VZV encephalitis and meningitis developing secondary to varicella zoster are considered to be extremely rare, reportedly occurring at an incidence rate of about 0.5%. On the other hand, it has been reported that even among cases of herpes zoster without symptoms of meningeal irritation, there are many cases of infection of the spinal fluid and in which symptomatic meningitis may develop if the disease progresses. In this report, we describe a case of Ramsay Hunt syndrome associated with multiple cerebral neuropathies, complicated by delayed loss of consciousness and meningitis.
Noda et al. (Thu,) studied this question.