Hemiparesis and convergence spasm associated with herpes zoster infection

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Abstract

Herpes zoster is occasionally complicated by central nervous system involvement, including myelitis and encephalitis, but these neurological complications are not common and their pathogenesis is conversial. Two cases of herpes zoster with uncommon neurologic complications are described. One woman developed unilateral herpes zoster ophthalmicus contralateral hemiparesis and progressive dementia eight weeks after the onset of the disease, with an abnormality on computerized tomography consistent with left capsular infarction. The woman was treated with corticosteroids with marked clearing of her mental state. The second woman presented with herpes zoster involving the thorax (T10-11), with sudden onset of diplopia due to convergence spasm two weeks after onset. The spinal fluid contained 226 lymphocytes per mm3 and anti-herpes zoster antibodies were found. The clinical course was short, with fulll recovery in two weeks.

Original languageEnglish
Pages (from-to)176-177+215
JournalHarefuah
Volume104
Issue number5
StatePublished - 1983
Externally publishedYes

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