Unilateral laryngeal paralysis in a newborn with congenital varicella syndrome

Aplasia Cutis Congenita as a Sole Manifestation of Congenital Varicella Syndrome

“…Congenital varicella syndrome is characterized by a number of clinical manifestations: premature labor and small for gestational age; cutaneous lesions (e.g., scars in a dermatomal distribution and aplasia cutis congenita); CNS and peripheral nervous system abnormalities (e.g., microcephaly, hydrocephalus, cortical/cerebellar atrophy, mental retardation, facial nerve palsy, phrenic nerve palsy, recurrent laryngeal nerve palsy, bulbar palsy, brachial plexus palsy, and intracranial calcifications); ocular abnormalities (e.g., cataracts, nystagmus, microphthalmia, chorioretinitis, and optic atrophy); autonomic nervous system dysfunction (e.g., Horner syndrome, neurogenic bladder, dysphagia, and anal sphincter dysfunction); neuromuscular/orthopedic abnormalities (e.g., talipes equinovarus or calcaneovalgus deformity, hypoplasia/atrophy of the limb, rudimentary digit, hypoplasia of ribs, and scoliosis); gastrointestinal anomalies (e.g., duodenal stenosis, jejunoileal atresia, Meckel diverticulum, colonic atresia, colonic stricture, small left colon syndrome, and sigmoid atresia); and genitourinary anomalies (e.g., hydronephrosis, hydroureter, renal dysplasia, renal agenesis, and undescended testes) [6][7][8][9][10][11][12][13][14][15][16][17][18].…”

Fetal varicella – diagnosis, management, and outcome

“…29 Diffuse spinal cord scarring has been described. 30 Autonomic nervous system denervation can result in laryngeal paralysis, 31 Ramsay-Hunt syndrome 32 diaphragmatic paralysis, intestinal atresia, 33,34 neurogenic bladder, 35 hydroureter, esophageal dilation, and reflux. 36 Intractable gastroesophageal reflux or diaphragmatic paralysis can result in respiratory failure, which may be fatal.…”