J Korean Neurol Assoc.  2005 Feb;23(1):121-123.

Contralateral Abducens Palsy in a Case of Zoster Polyradiculitis

Affiliations
  • 1Department of Neurology, Seoul National University College of Medicine, Seoul, Korea. blue4han@chollian.net

Abstract

A 54-year-old woman with zoster in the right cervical region developed isolated left abducens palsy. She also had extensive polyradiculopathy in the right side. CSF examination revealed varicella zoster virus DNA, while magnetic resonance imaging of the brain showed no significant abnormality. After treatment with acyclovir and prednisolone, her symptoms completely improved. We report a case of cervical zoster with contralateral abducens palsy and suggest vasculitis or concomitant reactivation of VZV in the contralateral trigeminal ganglia as its mechanism.

Keyword

Cervical zoster; varicella zoster virus; abducens nerve palsy

MeSH Terms

Abducens Nerve Diseases
Acyclovir
Brain
DNA
Female
Herpes Zoster*
Herpesvirus 3, Human
Humans
Magnetic Resonance Imaging
Middle Aged
Paralysis*
Polyradiculopathy*
Prednisolone
Trigeminal Ganglion
Vasculitis
Acyclovir
DNA
Prednisolone
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