Herpes zoster ophthalmicus and ipsilateral infarction in the territory of the anterior choroidal artery

Kniahynicki, C; Castellano, A; Mossuto-Agatiello, Luigi

doi:10.1007/bf02334051

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1990

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“…[24] Cases with an isolated sensory disorder and cutaneous eruption in the territory of 1 or 2 dermatomes are regarded as uncomplicated HZ. [1,5,21] We undertook a retrospective analysis of the neurological complications and their outcome in 31 patients seen over a 10-year period. [1,5,21] We undertook a retrospective analysis of the neurological complications and their outcome in 31 patients seen over a 10-year period.…”

Section: Introductionmentioning

confidence: 99%

Neurological complications of herpes zoster

et al. 1990

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We report 31 cases of herpes zoster (HZ) with neurological complications: 14 with cranial nerve deficits, 1 with cranial nerve deficit associated with segmental motor disorder, 3 with segmental motor deficits, 2 with meningoencephalitis, 2 with meningoencephalitis associated with cranial neuropathy or myelitis, 2 with meningitis, 2 with hemiplegia contralateral to the ophthalmic HZ. 1 with hemiplegia and motor deficit and finally 1 with hemiplegia and a cranial neuropathy. Smoking was the putative risk factor in 53% of our patients together with diabetes, which has already been mentioned in the literature. We frequently observed more than one complication in succession (19.3%) that could not easily be related to the cutaneous distribution. Acyclovir had no demonstrable positive effects on neurological complication in our patients.

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