Herpes Zoster ophthalmicus with occulomotor nerve palsy

Öz

Anahtar Kelimeler

• Herpes zoster, göz tutulumu, okülomotor sinir, felç

Herpes Zoster ophthalmicus with occulomotor nerve palsy

Abstract

Approximately 1–5% of patients with herpes zoster develop motor weakness after dermatomal involve- ment. Trigeminal nerve is the most affected cranial nerve, but third and fourth cranial nerve involve- ment is rare in herpes zoster.3 Motor weakness oc- curs within 2 to 3 weeks after the onset of the rash. Ophthalmoplegia with herpes zoster ophthalmicus have been reported in the literature.. The ophthal- moplegia usually appears within 2 to 4 weeks after the onset of the rash, and is seen in 7–33% of pa- tients with HZO. Multiple cranial nevre palsies can be observed simultaneously. However, pan ophthal- moplegia is an extremely rare complication.4 Third nerve palsy may present with a total or partial in- volvement, but ptosis always occur

Keywords

• Herpes zoster, ophtalmic, oculomotor nerve, palsy

Kaynakça

1. Shaikh S, Ta CN. Evaluation and management of herpes zoster ophthalmicus. Am Fam Physician 2002;66: 1723-30.
2. Bakbak B, Çelebi ARC, Şener C. Horner’s Syndrome Fol- lowing Herpes Zoster Ophthalmicus. Türk Nörol Derg 2009;15:82–4.
3. Pandey PK, Garg D, Bhatia A, Jain V. Horner’s syndrome and sixth nevre palsy due to herpes zoster ophthalmicus ar- teritis. Eye 2005;19:224–6.
4. Yıldız ÖK, Seğmen H, Bolayır E, Topaktaş AS. A Case of Herpes Zoster Ophthalmicus With Oculomotor Nerve Pal- sy. J Neurol Sci [Turk] 2009; 26:500–4