Herpes zoster ophthalmicus followed by contralateral hemiplegia

ABSTRACT

Despite adequate antiviral treatment an immuno-competent 57-year-old Asian male developed hemiplegia two months after an attack of herpes zoster ophthalmicus. He survived with significant residual neurologic sequelae. Several mechanisms have been postulated for the pathogenesis of this rare condition. There is no agreement on the best treatment; antivirals and steroids have been used with inconclusive results: