Post varicella angiopathy-a case report

Chickenpox is a common viral illness in children. In most of the immunocompitent children it's a self-limiting disease and seldom causes complications. Neurological complications are one of the rare complications of chickenpox. These complications may present as hemiparesis, focal deficits and arterial ischemic strokes (AIS). These Ischemic strokes may be a manifestation ofpost varicella angiopathy. Here we present a case of 11 year old girl who presented with left hemiparesis with left sided facial nerve palsy 15 days after chickenpox. An MRI was done which was suggestive of multiple infarcts in cortical and subcortical regions and MR angiography was suggestive of narrowing of right middle cerebral artery. Patient was treated with aspirin and LMW heparin in addition to supportive measures.