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[Complete ophthalmoplegia complicating ophthalmic herpes zoster]

C Papeix1, J Dumurgier, D Miléa

  • 1Service de Neurologie 1, Hôpital de la Pitié-Salpêtriere (AP-HP), Paris. caroline.papeix@psl.ap-hop-paris.fr

Revue Neurologique
|August 19, 2005
PubMed

Insights

A 73-year-old experienced complete ophthalmoplegia after ophthalmic herpes zoster. An MRI revealed an ipsilateral temporal meningioma, suggesting a dual cause for the ocular motor deficits.

Area of Science:

  • Ophthalmology
  • Neurology
  • Neurosurgery

Background:

  • Ophthalmic herpes zoster can cause neurological complications.
  • Meningiomas, particularly those extending into the cavernous sinus, may present with cranial nerve palsies.

Observation:

  • A 73-year-old patient presented with complete ophthalmoplegia.
  • The patient had a preceding episode of ophthalmic herpes zoster.
  • Magnetic Resonance Imaging (MRI) identified an ipsilateral temporal meningioma with cavernous sinus extension.

Findings:

  • The case highlights a potential association between ophthalmic herpes zoster and ipsilateral temporal meningioma.
  • Both conditions were considered as potential contributors to the patient's ocular motor nerve dysfunction.

Implications:

  • This case underscores the importance of considering both infectious and neoplastic etiologies in patients with sudden-onset ophthalmoplegia.
  • Comprehensive neuroimaging and clinical evaluation are crucial for diagnosing complex cases involving the cranial nerves and cavernous sinus.
  • Understanding these associations can improve diagnostic accuracy and patient management in neuro-ophthalmology.

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