Cranial Nerve VI Palsy Secondary to Herpes Zoster Ophthalmicus: A Case Report and Literature Review.

Clara V Kuranz, Jennifer Larson
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Abstract

Introduction: In this report, we describe a rare case of a cranial nerve VI palsy secondary to herpes zoster infection with polyneuropathic involvement.

Case presentation: An 82-year-old male was seen by ophthalmology for acute onset of double vision. Fourteen days before presenting, he was diagnosed with herpes zoster ophthalmicus. He was suspected to have zoster polyneuropathy also involving cranial nerve IX and X given a sore throat that began prior to the characteristic trigeminal dermatomal rash. He was diagnosed with cranial nerve VI palsy secondary to herpes zoster infection.

Discussion: Ophthalmic complications of herpes zoster ophthalmicus are many; however, extraocular nerve palsies secondary to herpes zoster infection and zoster polyneuropathy are documented infrequently in the literature.

Conclusions: Extraocular muscle palsies are a rare complication of herpes zoster infection. This case reviews the most current literature surrounding this condition and discusses the significance of polyneuropathic involvement in varicella zoster virus reactivation.

继发于带状疱疹眼炎的颅神经 VI 麻痹:病例报告和文献综述。
简介:本报告描述了一例罕见的继发于带状疱疹感染的颅神经VI麻痹病例:在本报告中,我们描述了一例罕见的继发于带状疱疹感染的颅神经VI麻痹病例:一名 82 岁的男性因急性复视到眼科就诊。就诊前 14 天,他被诊断为带状疱疹性眼炎。由于他在出现特征性三叉神经皮疹之前就出现了咽喉痛,因此被怀疑患有带状疱疹多发性神经病,并累及颅神经 IX 和 X。他被诊断为继发于带状疱疹感染的颅神经VI麻痹:讨论:带状疱疹性眼炎的眼部并发症很多,但文献中很少记载继发于带状疱疹感染和带状疱疹多发性神经病的眼外肌麻痹:结论:眼外肌麻痹是带状疱疹感染的罕见并发症。本病例回顾了有关这一病症的最新文献,并讨论了水痘带状疱疹病毒再激活中多神经病变的重要意义。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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