Herpes zoster ophthalmicus associated with abducens palsy
The extraocular muscle palsies associated with herpes zoster ophthalmicus (HZO) are transient, self-limiting conditions, usually seen in elderly patients. There are different treatment recommendations for paralytic complications, but prognosis has generally reported to be favorable. A 75-year-old ma...
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| Published in: | Journal of neurosciences in rural practice Vol. 5; no. 2; pp. 180 - 182 |
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| Language: | English |
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Medknow Publications
01-04-2014
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| Abstract | The extraocular muscle palsies associated with herpes zoster ophthalmicus (HZO) are transient, self-limiting conditions, usually seen in elderly patients. There are different treatment recommendations for paralytic complications, but prognosis has generally reported to be favorable. A 75-year-old male patient presented with diplopia. Clinical history revealed left facial vesicular eruptions and pain treated by oral aciclovir 1 week following symptom onset. On examination, we observed cicatricial lesions with crusts involving left hemiface, a limitation in abduction of the left eye, and a superficial punctuate keratitis (SPK) with decreased visual acuity (4/10). Examination of the right eye was unremarkable. Hess screen test confirmed left six nerve palsy. |
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| AbstractList | The extraocular muscle palsies associated with herpes zoster ophthalmicus (HZO) are transient, self-limiting conditions, usually seen in elderly patients. There are different treatment recommendations for paralytic complications, but prognosis has generally reported to be favorable. A 75-year-old male patient presented with diplopia. Clinical history revealed left facial vesicular eruptions and pain treated by oral aciclovir 1 week following symptom onset. On examination, we observed cicatricial lesions with crusts involving left hemiface, a limitation in abduction of the left eye, and a superficial punctuate keratitis (SPK) with decreased visual acuity (4/10). Examination of the right eye was unremarkable. Hess screen test confirmed left six nerve palsy. |
| Audience | Academic |
| Author | El Matri, Leila Mghaieth, Fatma Chebil, Ahmed Jemmeli, Mehdi Chaker, Nibrass Bouladi, Mejda |
| AuthorAffiliation | Department B of Ophthalmology, Hedi Rais Institute of Ophthalmology, Faculty of Medicine of Tunis, University of El Manar, Tunis, Tunisia |
| AuthorAffiliation_xml | – name: Department B of Ophthalmology, Hedi Rais Institute of Ophthalmology, Faculty of Medicine of Tunis, University of El Manar, Tunis, Tunisia |
| Author_xml | – sequence: 1 givenname: Nibrass surname: Chaker fullname: Chaker, Nibrass organization: Department B of Ophthalmology, Hedi Rais Institute of Ophthalmology, Faculty of Medicine of Tunis, University of El Manar, Tunis – sequence: 2 givenname: Mejda surname: Bouladi fullname: Bouladi, Mejda organization: Department B of Ophthalmology, Hedi Rais Institute of Ophthalmology, Faculty of Medicine of Tunis, University of El Manar, Tunis – sequence: 3 givenname: Ahmed surname: Chebil fullname: Chebil, Ahmed organization: Department B of Ophthalmology, Hedi Rais Institute of Ophthalmology, Faculty of Medicine of Tunis, University of El Manar, Tunis – sequence: 4 givenname: Mehdi surname: Jemmeli fullname: Jemmeli, Mehdi organization: Department B of Ophthalmology, Hedi Rais Institute of Ophthalmology, Faculty of Medicine of Tunis, University of El Manar, Tunis – sequence: 5 givenname: Fatma surname: Mghaieth fullname: Mghaieth, Fatma organization: Department B of Ophthalmology, Hedi Rais Institute of Ophthalmology, Faculty of Medicine of Tunis, University of El Manar, Tunis – sequence: 6 givenname: Leila surname: El Matri fullname: El Matri, Leila organization: Department B of Ophthalmology, Hedi Rais Institute of Ophthalmology, Faculty of Medicine of Tunis, University of El Manar, Tunis |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/24966563$$D View this record in MEDLINE/PubMed |
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| DOI | 10.4103/0976-3147.131673 |
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| Keywords | Herpes zoster ophthalmicus Abducens nerve external ophthalmoplegia |
| Language | English |
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| References | Marsh (key-10.4103/0976-3147.131673-7) 1977 Athanasiadis (key-10.4103/0976-3147.131673-5) 2008 Shin (key-10.4103/0976-3147.131673-1) 2007 Kim (key-10.4103/0976-3147.131673-12) 2013 Gross (key-10.4103/0976-3147.131673-11) 2003 Sanjay (key-10.4103/0976-3147.131673-10) 2009 Delengocky (key-10.4103/0976-3147.131673-4) 2008 Im (key-10.4103/0976-3147.131673-9) 2007 Cohen (key-10.4103/0976-3147.131673-2) 2013 key-10.4103/0976-3147.131673-6 Shin (key-10.4103/0976-3147.131673-3) 2005 Smith (key-10.4103/0976-3147.131673-8) 1993 |
| References_xml | – start-page: 255 volume-title: Clinical practice: Herpes zoster year: 2013 ident: key-10.4103/0976-3147.131673-2 publication-title: N Engl J Med contributor: fullname: Cohen – start-page: 325 volume-title: Complete unilateral ophthalmoplegia in herpes zoster ophthalmicus year: 2009 ident: key-10.4103/0976-3147.131673-10 publication-title: J Neuroophthalmol contributor: fullname: Sanjay – start-page: 677 volume-title: External ocular motor palsies in ophthalmic zoster: A review year: 1977 ident: key-10.4103/0976-3147.131673-7 publication-title: Br J Ophtalmol contributor: fullname: Marsh – start-page: 905 volume-title: A case of herpes zoster with abducens palsy year: 2007 ident: key-10.4103/0976-3147.131673-1 publication-title: J Korean Med Sci contributor: fullname: Shin – start-page: 250 volume-title: Herpes zoster ophthalmicus as a cause of Horner syndrome year: 1993 ident: key-10.4103/0976-3147.131673-8 publication-title: J Clin Neuroophthalmol contributor: fullname: Smith – start-page: 162 volume-title: Complete ophthalmoplegia after herpes zoster year: 2007 ident: key-10.4103/0976-3147.131673-9 publication-title: Clin Exp Dermatol contributor: fullname: Im – ident: key-10.4103/0976-3147.131673-6 – start-page: 75 volume-title: A case of herpes zoster ophthalmicus associated with multiple ocular and extraocular manifestations year: 2008 ident: key-10.4103/0976-3147.131673-5 publication-title: Neuro-Ophthalmology contributor: fullname: Athanasiadis – start-page: 242 volume-title: Herpes zoster vaccination year: 2013 ident: key-10.4103/0976-3147.131673-12 publication-title: Korean J Pain contributor: fullname: Kim – start-page: 277 volume-title: Herpes zoster guideline of German Dermatology Society year: 2003 ident: key-10.4103/0976-3147.131673-11 publication-title: J Clin Virol contributor: fullname: Gross – start-page: 302 volume-title: A case of complete ophthalmoplegia in herpes zoster ophthalmicus year: 2005 ident: key-10.4103/0976-3147.131673-3 publication-title: Korean J Ophthalmol contributor: fullname: Shin – start-page: 615 volume-title: Complete ophthalmoplegia with pupillary involvement as an initial clinical presentation of herpes zoster ophthalmicus year: 2008 ident: key-10.4103/0976-3147.131673-4 publication-title: J Am Osteopath Assoc contributor: fullname: Delengocky |
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| SubjectTerms | Abducens nerve diseases Care and treatment Case Report Case studies Causes of Diagnosis Family medical history Infections Pain Patient outcomes Risk factors Shingles (Disease) Vaccines Viral infections |
| Title | Herpes zoster ophthalmicus associated with abducens palsy |
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