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Grant T. Liu, MD
Division of Neurology Brigham and Women's Hospital 75 Francis St Boston, MA 02115

Arch Neurol. 1991;48(9):900.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

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 3-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 patients^2-4 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 . . . [Full Text PDF of this Article]

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