J Korean Med Sci.  1988 Jun;3(2):79-82. 10.3346/jkms.1988.3.2.79.

Herpes zoster ophthalmicus and delayed contralateral hemiparesis

• Sung KB
• Kim SH
• Kim JH
• Chung KC
• Kim MH

• KMID: 1421289
• DOI: http://doi.org/10.3346/jkms.1988.3.2.79

Abstract

Central nervous system is often involved by herpes zoster but it is very rarely seen that contralateral hemiparesis or hemiplegia developed after herpes zoster ophthalmicus. We report a case of herpes zoster ophthalmicus followed by the delayed contralateral hemiparesis. A 33-year-old man developed acute cerebral infarction and resultant right hemiparesis 44 days after herpes zoster ophthalmicus in the left side. Brain CT disclosed hypodense area in the left basal ganglia. Cerebral angiography revealed segmental narrowing of M1 portion of the right middle cerebral artery.

Keyword

Herpes zoster ophthalmicus; contralateral hemiparesis; cerebral infarction; direct invasion; granulomatous angitis

MeSH Terms

Adult
Cerebral Angiography
Cerebral Arteries/pathology
Cerebral Infarction/*etiology/radiography
Dominance, Cerebral
Hemiplegia/*etiology
Herpes Zoster Ophthalmicus/*complications
Humans
Male
Tomography, X-Ray Computed
Vasculitis/etiology