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Total ophthalmoplegia in a case of herpes zoster ophthalmicus Rina Sato 1 , Mari Yamada 1 , Kazushi Tamai 1 1Dept of Ophthalmol, Higashi Muni Hosp of Nagoya pp.1279-1283
Published Date 2008/8/15
DOI https://doi.org/10.11477/mf.1410102349
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Abstract. Purpose:To report a case of herpes zoster ophthalmicus followed by total ophthalmoplegia. Case:A 62-year-old male was referred to us for herpes zoster ophthalmicus since 3 days before. His right eye showed keratouveitis that improved after topical treatment with corticosteroid and antiviral drugs. Nineteen days after onset, he developed right-sided periorbital pain, eyelid ptosis and restricted ocular motility in all directions. Magnetic resonance imaging(MRI)showed gadolinium enhancement in the right cavernous sinus area. He was diagnosed with total ophthalmoplegia secondary to lesion in the cavernous sinus. Systemic treatment with corticosteroid and antiviral agent was followed by improved ocular motility 3 months later. MRI another month later showed no enhancement in the cavernous sinus area. Conclusion:Inflammation of trigeminal nerve may have spread to oculomotor and abducens nerves in the cavernous sinus area. MRI was useful in the diagnosis and follow-up in the present case.


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電子版ISSN 1882-1308 印刷版ISSN 0370-5579 医学書院

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