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Delayed Superior Orbital Fissure Syndrome Arising More than One Month after Herpes Zoster Ophthalmicus and Meningitis.
Takahashi, Sunao; Okabayashi, Kotaro; Soejima, Itsuki; Oniki, Ayako; Ishihara, Shoichiro; Tomimitsu, Hiroyuki.
Afiliación
  • Takahashi S; Department of Neurology, JA Toride Medical Center, Japan.
  • Okabayashi K; Department of Neurology, JA Toride Medical Center, Japan.
  • Soejima I; Department of Neurology, JA Toride Medical Center, Japan.
  • Oniki A; Department of Neurology, JA Toride Medical Center, Japan.
  • Ishihara S; Department of Neurology, JA Toride Medical Center, Japan.
  • Tomimitsu H; Department of Neurology, JA Toride Medical Center, Japan.
Intern Med ; 2024 Jun 06.
Article en En | MEDLINE | ID: mdl-38839332
ABSTRACT
A 79-year-old woman developed herpes zoster ophthalmicus (HZO) with a vesicular rash on the nasal root, which developed soon after intravenous acyclovir therapy. Although varicella zoster virus DNA was undetectable in the cerebrospinal fluid, she presented with ophthalmoplegia without optic nerve dysfunction 32 days after the onset of HZO. We diagnosed the patient with superior orbital fissure syndrome and administered intravenous immunoglobulin and systemic corticosteroids. Ophthalmoplegia did not immediately respond to these therapies but resolved 4 months later. We should be aware that ophthalmoplegia can occur, even after HZO and meningitis are completely treated.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Intern Med Asunto de la revista: MEDICINA INTERNA Año: 2024 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Japón
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Intern Med Asunto de la revista: MEDICINA INTERNA Año: 2024 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Japón