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[Ophthalmic zoster with contralateral hemiplegia].

A Członkowska1

  • 1Klinika Chorób Naczyniowych Układu Nerwowego, Instytut Psychiatrii i Neurologii w Warszawie.

Neurologia I Neurochirurgia Polska
|January 1, 1991
PubMed
Summary

Herpes zoster ophthalmicus can lead to contralateral hemiplegia due to local angiitis causing brain lesions. This review examines clinical, pathological, and immunological findings associated with this neurological complication.

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Area of Science:

  • Neurology
  • Ophthalmology
  • Immunology

Context:

  • Herpes zoster ophthalmicus (HZO) is a viral infection affecting the eye and surrounding facial structures.
  • Neurological complications, such as contralateral hemiplegia, can occur weeks after the initial skin manifestations of HZO.

Purpose:

  • To review the clinical, pathological, and immunological aspects of contralateral hemiplegia following herpes zoster ophthalmicus.
  • To highlight local angiitis as a primary cause of ischemic brain lesions in this context.

Summary:

  • Herpes zoster ophthalmicus can be followed by contralateral hemiplegia, a neurological deficit affecting one side of the body opposite the affected eye.
  • The underlying mechanism is often local angiitis, leading to ischemic brain lesions.
  • This review synthesizes existing literature on the clinical presentation, pathological findings, and immunological responses.

Impact:

  • Enhances understanding of the rare but serious neurological sequelae of herpes zoster ophthalmicus.
  • Provides a consolidated resource for clinicians and researchers investigating HZO-associated brain ischemia and hemiplegia.
  • Informs potential diagnostic and therapeutic strategies for managing this complication.

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