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Published on: September 13, 2024
Management of Cavernous Sinus Thrombosis Following Herpes Zoster Ophthalmicus
Yusuf Mehkri1, Jeff A Valisno1, Lorena Figueredo Rivas2
1Department of Neurosurgery, University of Florida College of Medicine, Gainesville, USA.
Abstract:
Herpes zoster opthalmicus (HZO) is the reactivation of latent varicella zoster virus (VZV) within the ophthalmic branch of the trigeminal ganglion (V1). Common complications are postherpetic neuralgia and vasculopathy. Here, we report a rare case of a 47-year-old female presenting with HZO and aseptic cavernous sinus thrombosis (CST). Early screening for rare and deadly complications such as CST using CT cerebral venography (CTV) and magnetic resonance venography (MRV), as was done, is crucial to detection at earlier stages when intervention is most effective. Anticoagulation therapy was promptly started, and the patient's symptoms continued to improve during the hospital stay.
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