带状疱疹眼炎和脑膜炎一个多月后出现的延迟性眼眶上裂综合征。

IF 1 4区医学 Q3 MEDICINE, GENERAL & INTERNAL

Internal Medicine Pub Date : 2025-01-15 Epub Date: 2024-06-06 DOI:10.2169/internalmedicine.3652-24

Sunao Takahashi, Kotaro Okabayashi, Itsuki Soejima, Ayako Oniki, Shoichiro Ishihara, Hiroyuki Tomimitsu

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引用次数: 0

摘要

一名 79 岁的妇女在静脉注射阿昔洛韦治疗后不久，患上了带状疱疹眼炎（HZO），鼻根部出现水泡状皮疹。虽然在脑脊液中检测不到水痘带状疱疹病毒 DNA，但她在 HZO 发病 32 天后出现眼球震颤，且无视神经功能障碍。我们诊断患者患有眶上裂综合征，并静脉注射了免疫球蛋白和全身皮质类固醇激素。眼肌麻痹并没有立即对这些疗法产生反应，但在 4 个月后得到了缓解。我们应该意识到，即使在 HZO 和脑膜炎完全治愈后，眼肌麻痹仍有可能发生。

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Delayed Superior Orbital Fissure Syndrome Arising More than One Month after Herpes Zoster Ophthalmicus and Meningitis.

A 79-year-old woman developed herpes zoster ophthalmicus (HZO) with a vesicular rash on the nasal root, which developed soon after intravenous acyclovir therapy. Although varicella zoster virus DNA was undetectable in the cerebrospinal fluid, she presented with ophthalmoplegia without optic nerve dysfunction 32 days after the onset of HZO. We diagnosed the patient with superior orbital fissure syndrome and administered intravenous immunoglobulin and systemic corticosteroids. Ophthalmoplegia did not immediately respond to these therapies but resolved 4 months later. We should be aware that ophthalmoplegia can occur, even after HZO and meningitis are completely treated.

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来源期刊

Internal Medicine 医学-医学：内科

CiteScore

1.90

自引率

8.30%

发文量

审稿时长

2.2 months

期刊介绍： Internal Medicine is an open-access online only journal published monthly by the Japanese Society of Internal Medicine. Articles must be prepared in accordance with "The Uniform Requirements for Manuscripts Submitted to Biomedical Journals (see Annals of Internal Medicine 108: 258-265, 1988), must be contributed solely to the Internal Medicine, and become the property of the Japanese Society of Internal Medicine. Statements contained therein are the responsibility of the author(s). The Society reserves copyright and renewal on all published material and such material may not be reproduced in any form without the written permission of the Society.