A Case of Herpes Zoster Ophthalmicus with Isolated Trochlear Nerve Involvement

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

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Detalles Bibliográficos
Autores principales: Park, Key-Chung, Yoon, Sung-Sang, Yoon, Jeong-Eun, Rhee, Hak-Young
Formato: Texto
Lenguaje:English
Publicado: Korean Neurological Association 2011
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3079161/
https://www.ncbi.nlm.nih.gov/pubmed/21519528
http://dx.doi.org/10.3988/jcn.2011.7.1.47
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author Park, Key-Chung
Yoon, Sung-Sang
Yoon, Jeong-Eun
Rhee, Hak-Young
author_facet Park, Key-Chung
Yoon, Sung-Sang
Yoon, Jeong-Eun
Rhee, Hak-Young
author_sort Park, Key-Chung
collection PubMed
description BACKGROUND: Herpes zoster ophthalmicus (HZO) can involve the oculomotor nerve; however, isolated trochlear nerve palsy has rarely been reported. CASE REPORT: 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. CONCLUSIONS: Isolated trochlear nerve involvement associated with HZO is very rare and may be easily overlooked. Physicians should carefully examine oculomotor involvement in HZO.
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spelling pubmed-30791612011-04-25 A Case of Herpes Zoster Ophthalmicus with Isolated Trochlear Nerve Involvement Park, Key-Chung Yoon, Sung-Sang Yoon, Jeong-Eun Rhee, Hak-Young J Clin Neurol Case Report BACKGROUND: Herpes zoster ophthalmicus (HZO) can involve the oculomotor nerve; however, isolated trochlear nerve palsy has rarely been reported. CASE REPORT: 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. CONCLUSIONS: Isolated trochlear nerve involvement associated with HZO is very rare and may be easily overlooked. Physicians should carefully examine oculomotor involvement in HZO. Korean Neurological Association 2011-03 2011-03-31 /pmc/articles/PMC3079161/ /pubmed/21519528 http://dx.doi.org/10.3988/jcn.2011.7.1.47 Text en Copyright © 2011 Korean Neurological Association
spellingShingle Case Report
Park, Key-Chung
Yoon, Sung-Sang
Yoon, Jeong-Eun
Rhee, Hak-Young
A Case of Herpes Zoster Ophthalmicus with Isolated Trochlear Nerve Involvement
title A Case of Herpes Zoster Ophthalmicus with Isolated Trochlear Nerve Involvement
title_full A Case of Herpes Zoster Ophthalmicus with Isolated Trochlear Nerve Involvement
title_fullStr A Case of Herpes Zoster Ophthalmicus with Isolated Trochlear Nerve Involvement
title_full_unstemmed A Case of Herpes Zoster Ophthalmicus with Isolated Trochlear Nerve Involvement
title_short A Case of Herpes Zoster Ophthalmicus with Isolated Trochlear Nerve Involvement
title_sort case of herpes zoster ophthalmicus with isolated trochlear nerve involvement
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3079161/
https://www.ncbi.nlm.nih.gov/pubmed/21519528
http://dx.doi.org/10.3988/jcn.2011.7.1.47
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