**6.2 Case 6: lower cranial polyneuropathy**

The patient was a 66-year-old man who presented with dysphagia and hoarseness 2 days after the onset of pain in the left occipital region to the shoulder. At an otorhinolaryngology clinic, recurrent nerve paralysis was observed, and lesions of herpes zoster were noted in the left side of the neck. Left glossopharyngeal, vagal, accessory, and hypoglossal nerve paralyzes were observed during neurological examination. CSF examination showed increased cell count and positivity for VZV DNA, and the patient was diagnosed with multiple lower cranial polyneuropathy.
