Ophthalmic herpes zoster with contralateral hemiparesis: a case report

Review of literature revealed atleast 30 cases of post herpes zoster osteonecrosis of maxilla or mandible. To our knowledge this is a first reported case of Ramsay-Hunt syndrome with post herpetic neuralgia and post herpes zoster osteonecrosis of edentulous maxilla and mandible. We have briefly reviewed the pathophysiology and management of post herpes zoster osteonecrosis and post herpetic neuralgia.

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Ramsay-Hunt syndrome complicating osteonecrosis of edentulous maxilla and mandible: report of a rare case

Badjate

Cariappa

Shenoi

et al. 2009

J. Maxillofac. Oral Surg.

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Herpes zoster infection of the maxilla: Case report

Owotade¹,

Ugboko²,

Kolude³

1999

Journal of Oral and Maxillofacial Surgery

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Herpes Zoster Ophthalmicus Followed by Contralateral Hemiparesis

Nogueira

Sheen²

2002

N Engl J Med

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A 71-year-old man with a history of multiple myeloma and subsequent autologous bone marrow transplantation was evaluated for a facial rash in the distribution of the ophthalmic branch of the right trigeminal nerve (Panel A). The findings were consistent with the presence of herpes zoster ophthalmicus, and he was treated with intravenous acyclovir, leading to nearly complete resolution of his skin lesions after three weeks. Two months later, skin lesions recurred in the same distribution, with progressive worsening of his mental status and the acute onset of left hemiparesis. Examination revealed partial palsy of the right third cranial nerve and complete palsy of the left seventh cranial nerve, with an upper motor neuron distribution. Magnetic resonance imaging of the brain revealed an area of restricted diffusion in the right posterior basal ganglia (Panel B) that extended laterally to the external capsule and superiorly to the right corona radiata (Panel C). The patient received a second course of acyclovir, which was complicated by renal failure, and then completed a short course of prednisone, with partial improvement of his symptoms.Herpes zoster ophthalmicus followed by contralateral hemiparesis is a well-recognized syndrome in which reemergence of zoster infection, usually in the setting of immunosuppression, leads to a granulomatous arteritis and cerebral infarction.

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Ophthalmic herpes zoster with contralateral hemiparesis: a case report

Cited by 5 publications

References 9 publications

Ramsay-Hunt syndrome complicating osteonecrosis of edentulous maxilla and mandible: report of a rare case

Ramsay-Hunt syndrome complicating osteonecrosis of edentulous maxilla and mandible: report of a rare case

Herpes zoster infection of the maxilla: Case report

Herpes Zoster Ophthalmicus Followed by Contralateral Hemiparesis

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