Varicella myelitis
ICD-10 B01.12 is a billable code used to indicate a diagnosis of varicella myelitis.
Varicella myelitis is a rare but serious complication of varicella (chickenpox) infection, characterized by inflammation of the spinal cord. This condition typically arises in individuals who have had varicella, particularly in those who are immunocompromised or have not been vaccinated. Symptoms may include severe back pain, weakness in the limbs, sensory disturbances, and in some cases, paralysis. The pathophysiology involves the varicella-zoster virus (VZV) reactivating in the dorsal root ganglia, leading to viral invasion of the spinal cord. Diagnosis is primarily clinical, supported by imaging studies such as MRI, and serological tests to confirm VZV infection. Treatment often involves antiviral medications, corticosteroids to reduce inflammation, and supportive care. Vaccination against varicella is crucial in preventing this complication, as it significantly reduces the incidence of varicella and its associated complications, including myelitis.
Detailed neurological examination findings, imaging results, and treatment plans.
Patients presenting with neurological symptoms post-varicella infection.
Ensure clear documentation of neurological deficits and their progression.
History of varicella infection, vaccination status, and treatment response.
Management of varicella complications in immunocompromised patients.
Document any prior varicella infections and vaccination details.
Used when a patient with varicella myelitis is admitted for management.
Comprehensive history and examination, including neurological assessment.
Neurologists should ensure detailed documentation of neurological findings.
Common symptoms include severe back pain, weakness in the limbs, sensory disturbances, and in some cases, paralysis.
Diagnosis is primarily clinical, supported by MRI imaging and serological tests to confirm varicella-zoster virus infection.
Vaccination against varicella significantly reduces the incidence of varicella and its associated complications, including myelitis.
