A Case of Herpes Zoster with Abducens Palsy
Journal of Korean Medical Science
;
: 905-907, 2007.
Article
in English
| WPRIM
| ID: wpr-176591
ABSTRACT
Only a few reports have focused on ocular motor paralysis in herpes zoster ophthalmicus. We report a case of ocular motor paralysis resulting from herpes zoster. The patient, an 80-yr-old woman, presented with grouped vesicles, papules, and crusting in the left temporal area and scalp, with diplopia, impaired gaze, and severe pain. Her cerebrospinal fluid analysis was positive for varicellar zoster virus IgM. Magnetic resonance imaging was performed to rule out other diseases causing diplopia; there were no specific findings other than old infarctions in the pons and basal ganglia. Therefore, she was diagnosed of abducens nerve palsy caused by herpes zoster ophthalmicus. After 5 days of systemic antiviral therapy, the skin lesions improved markedly, and the paralysis was cleared 7 weeks later without extra treatment.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Antiviral Agents
/
Acyclovir
/
Herpes Zoster Ophthalmicus
/
Treatment Outcome
/
Skin Diseases, Viral
/
Abducens Nerve Diseases
/
Herpes Zoster
Limits:
Aged
/
Aged80
/
Female
/
Humans
Language:
English
Journal:
Journal of Korean Medical Science
Year:
2007
Type:
Article
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