带状疱疹伴视神经炎及海绵状窦受累的治疗1例。

IF 2.6 4区医学 Q2 OPHTHALMOLOGY

Ocular Immunology and Inflammation Pub Date : 2024-12-17 DOI:10.1080/09273948.2024.2443672

Jack E Feist, Nathan Lambert-Cheatham, Melis Kabaalioglu Guner

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引用次数: 0

摘要

目的：报告一罕见的带状疱疹伴视神经病变和动眼神经麻痹的治疗方法。方法：报告1例病例。结果：磁共振成像显示，视神经和海绵状窦的多发性病变，在V1皮肤分布的特征性带状疱疹皮疹患者。在接受全身更昔洛韦和静脉注射皮质类固醇治疗后，患者的视力显著改善，从手部运动到20/25。结论：本报告报告了一例罕见的HZO视神经病变伴海绵窦受累的病例，并成功地采用了非常规的药物治疗方案。

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Management of Herpes Zoster Ophthalmicus with Optic Neuritis and Cavernous Sinus Involvement: A Case Report.

Purpose: To report a treatment approach of a rare presentation of herpes zoster ophthalmicus (HZO) with optic neuropathy and oculomotor nerve palsy.

Methods: Report of one case.

Results: Multiple lesions involving the optic nerve and cavernous sinus were demonstrated on magnetic resonance imaging in a patient with a characteristic herpes zoster rash in the V1 dermatomal distribution. Following treatment with systemic ganciclovir and intravenous corticosteroids, the patient experienced dramatic improvement in visual acuity, from hand motion to 20/25.

Conclusion: This report demonstrates a rare case of HZO optic neuropathy with cavernous sinus involvement that was successfully treated with an unconventional medication regimen.

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来源期刊

Ocular Immunology and Inflammation 医学-眼科学

CiteScore

6.20

自引率

15.20%

发文量

285

审稿时长

6-12 weeks

期刊介绍： Ocular Immunology & Inflammation ranks 18 out of 59 in the Ophthalmology Category.Ocular Immunology and Inflammation is a peer-reviewed, scientific publication that welcomes the submission of original, previously unpublished manuscripts directed to ophthalmologists and vision scientists. Published bimonthly, the journal provides an international medium for basic and clinical research reports on the ocular inflammatory response and its control by the immune system. The journal publishes original research papers, case reports, reviews, letters to the editor, meeting abstracts, and invited editorials.