1. Cranial Nerve VI Palsy Secondary to Herpes Zoster Ophthalmicus: A Case Report and Literature Review.
- Author
-
Kuranz CV and Larson J
- Subjects
- Humans, Male, Aged, 80 and over, Antiviral Agents therapeutic use, Diagnosis, Differential, Herpes Zoster Ophthalmicus complications, Herpes Zoster Ophthalmicus drug therapy, Herpes Zoster Ophthalmicus diagnosis, Abducens Nerve Diseases etiology, Abducens Nerve Diseases virology
- Abstract
Introduction: In this report, we describe a rare case of a cranial nerve VI palsy secondary to herpes zoster infection with polyneuropathic involvement., Case Presentation: An 82-year-old male was seen by ophthalmology for acute onset of double vision. Fourteen days before presenting, he was diagnosed with herpes zoster ophthalmicus. He was suspected to have zoster polyneuropathy also involving cranial nerve IX and X given a sore throat that began prior to the characteristic trigeminal dermatomal rash. He was diagnosed with cranial nerve VI palsy secondary to herpes zoster infection., Discussion: Ophthalmic complications of herpes zoster ophthalmicus are many; however, extraocular nerve palsies secondary to herpes zoster infection and zoster polyneuropathy are documented infrequently in the literature., Conclusions: Extraocular muscle palsies are a rare complication of herpes zoster infection. This case reviews the most current literature surrounding this condition and discusses the significance of polyneuropathic involvement in varicella zoster virus reactivation., (Copyright© Board of Regents of the University of Wisconsin System and The Medical College of Wisconsin, Inc.)
- Published
- 2024