A case of herpes zoster ophthalmicus with isolated trochlear nerve involvement

Herpes zoster ophthalmicus (HZO) can involve the oculomotor nerve; however, isolated trochlear nerve palsy has rarely been reported. An 83-year-old man who suffered from HZO in the right frontal area and scalp subsequently developed vertical diplopia and severe pain. Cerebrospinal fluid examination...

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Bibliographic Details
Published in:	Journal of clinical neurology (Seoul, Korea) Vol. 7; no. 1; pp. 47 - 49
Main Authors:	Park, Key-Chung, Yoon, Sung-Sang, Yoon, Jeong-Eun, Rhee, Hak-Young
Format:	Journal Article
Language:	English
Published:	Korea (South) Korean Neurological Association 01-03-2011 대한신경과학회
Subjects:	Case Report 신경과학 herpes zoster ophthalmicus trochlear nerve cranial nerve involvement
Online Access:	Get full text
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Summary:	Herpes zoster ophthalmicus (HZO) can involve the oculomotor nerve; however, isolated trochlear nerve palsy has rarely been reported. An 83-year-old man who suffered from HZO in the right frontal area and scalp subsequently developed vertical diplopia and severe pain. Cerebrospinal fluid examination and brain MRI revealed no abnormalities. Isolated right trochlear nerve palsy was diagnosed based on the findings of neuro-ophthalmological tests. Isolated trochlear nerve involvement associated with HZO is very rare and may be easily overlooked. Physicians should carefully examine oculomotor involvement in HZO.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 G704-002236.2011.7.1.002
ISSN:	1738-6586 2005-5013
DOI:	10.3988/jcn.2011.7.1.47