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Herpes zoster ophthalmicus with contralateral hemiplegia
Archives of Neurology
|October 1, 1977
Summary
Herpes zoster ophthalmicus can cause contralateral neurological deficits due to cerebral arteritis and ischemia. This case highlights the link between the viral infection and sudden neurological symptoms.
Area of Science:
- Neurology
- Infectious Diseases
- Vascular Neurology
Background:
- Herpes zoster ophthalmicus (HZO) is a viral infection affecting the ophthalmic nerve.
- Neurological complications following HZO are rare but serious.
- Cerebral arteritis is a potential complication of HZO.
Observation:
- A 48-year-old male presented with left hemiparesis nine weeks post-HZO affecting the right forehead.
- Cerebral angiography revealed bilateral changes indicative of cerebral arteritis.
- The patient's neurological condition deteriorated after angiography.
Findings:
- The case suggests a link between HZO and the development of cerebral arteritis.
- Arteritis and subsequent ischemia appear to be the underlying mechanisms for contralateral neurological symptoms.
- Sudden onset neurological deficits following HZO warrant investigation for vasculitis.
Implications:
- This case underscores the importance of considering vasculitis in patients with neurological symptoms after HZO.
- Early diagnosis and management of cerebral arteritis may improve outcomes.
- Further research is needed to elucidate the pathophysiology and optimal treatment strategies for HZO-associated vasculitis.