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      A Case of Herpes Zoster Ophthalmicus with Isolated Trochlear Nerve Involvement

      case-report

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          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Background

          Herpes zoster ophthalmicus (HZO) can involve the oculomotor nerve; however, isolated trochlear nerve palsy has rarely been reported.

          Case Report

          An 83-year-old man who suffered from HZO in the right frontal area and scalp subsequently developed vertical diplopia and severe pain. Cerebrospinal fluid examination and brain MRI revealed no abnormalities. Isolated right trochlear nerve palsy was diagnosed based on the findings of neuro-ophthalmological tests.

          Conclusions

          Isolated trochlear nerve involvement associated with HZO is very rare and may be easily overlooked. Physicians should carefully examine oculomotor involvement in HZO.

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          Most cited references14

          • Record: found
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          Histopathology of herpes zoster ophthalmicus.

          G Naumann, J Gass, R Font (1968)
          Article 0 comments Cited 15 times – based on 0 reviews     Review now
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            External ocular motor palsies in ophthalmic zoster: a review.

            B Dulley, V. Kelly, Elizabeth R. Marsh (1977)
            Seventy-seven new patients suffering from ophthalmic zoster and a selected group of 69 old patients were carefully examined with regard to external ocular movements. An incidence of 31% of ocular pareses was found in the new patients, and 58 in all were analysed. We were surprised to find several of these were contralateral and bilateral palsies. 28% of the palsies were asymptomatic, due to diplopia being present only in extremes of gaze and the rapid development of suppression in the affected eye. The theories of aetiology of these pareses are discussed.
            Article 0 comments Cited 14 times – based on 0 reviews     Review now
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              Complete ophthalmoplegia after zoster ophthalmicus.

              T Liesegang, Ann Lee, Walton Jones … (1997)
              Complete ophthalmoplegia following herpes zoster ophthalmicus (HZO) is rare. We report three cases of HZO-associated complete ophthalmoplegia and review thirteen additional cases reported in the English language medical literature over the past 30 years. HZO-associated complete ophthalmoplegia occurs mostly in individuals over the age of 50 years and usually occurs within one to two weeks of the development of cutaneous HZO. The prognosis for recovery is good, with-significant improvement typically seen within 2 months and complete or near resolution within 18 months time.
              Article 0 comments Cited 12 times – based on 0 reviews     Review now
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                Author and article information

                Journal
                Journal ID (nlm-ta): J Clin Neurol
                Journal ID (publisher-id): JCN
                Title: Journal of Clinical Neurology (Seoul, Korea)
                Publisher: Korean Neurological Association
                ISSN (Print): 1738-6586
                ISSN (Electronic): 2005-5013
                Publication date (Print): March 2011
                Publication date (Electronic): 31 March 2011
                Volume: 7
                Issue: 1
                Pages: 47-49
                Affiliations
                Department of Neurology, Kyung Hee University School of Medicine, Seoul, Korea.
                Author notes
                Correspondence: Key-Chung Park, MD, PhD. Department of Neurology, Kyung Hee University School of Medicine, 1 Hoegi-dong, Dongdaemun-gu, Seoul 130-702, Korea. Tel +82-2-958-8447, Fax +82-2-958-8490, kcpark67@ 123456medimail.co.kr
                Article
                DOI: 10.3988/jcn.2011.7.1.47
                PMC ID: 3079161
                PubMed ID: 21519528
                SO-VID: 695ec6a7-e74d-4d6b-8895-ffde5d312491
                Copyright © Copyright © 2011 Korean Neurological Association
                History
                Date received : 13 July 2009
                Date revision received : 13 October 2009
                Date accepted : 13 October 2009
                Categories
                Subject: Case Report

                ScienceOpen disciplines: Neurology
                Keywords: herpes zoster ophthalmicus,cranial nerve involvement,trochlear nerve
                Data availability:
                ScienceOpen disciplines: Neurology
                Keywords: herpes zoster ophthalmicus, cranial nerve involvement, trochlear nerve

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