Hemiparesis in herpes ophthalmicus: Report of a rare occurrence.

ABSTRACT

Report of a case of a 25 year-old Thai man who developed acute behavioural change and right hemiparesis one month after herpes zoster ophthalmicus (HZO) of the left trigeminal nerve. Neurological examination revealed disorientation and memory deficit with mild right central facial palsy and hemiparesis. CSF examination revealed 100 wbc with 97% lymphocyte. CT scan showed hypodensity over the left parietal region with gyral enhancement after contrast injection. Carotid angiogram revealed arteritis of left anterior and middle cerebral arteries, confirming the diagnosis of herpes zoster ophthalmicus associated cerebral angiitis. The patient recovered eventually on symptomatic treatment.