Herpes zoster ophthalmicus-induced oculomotor nerve palsy

Teaching NeuroImages: herpes zoster ophthalmicus-related oculomotor palsy accompanied by Hutchinson sign.

A 51-year-old woman presented with acute diplopia. Findings include right ptosis, a dilated, unreactive pupil, and impaired adduction and vertical ductions (figure 1). A skin lesion was noted on the right tip of the nose, residual from a vesicular rash over the right forehead 3 weeks earlier (figure 1). MRI demonstrated enhancement of the cisternal third nerve, obviating the need for angiograph...

Herpes Zoster Ophthalmicus

INTRODUCTION Herpes zoster is a common diagnosis in the emergency department (ED). Caused by the reactivation of the varicellazoster virus (VZV), zoster usually presents as a painful dermatomal rash. In addition to skin or mucosal involvement, VZV reactivation commonly affects the ophthalmic division of the trigeminal nerve and subsequently the eye. This manifestation is termed herpes zoster op...

Herpes Zoster Ophthalmicus.

Herpes zoster ophthalmicus in children.

Herpes zoster ophthalmicus, first described fully by Jonathan Hutchinson in 1866, is very rare in children, being predominantly an adult affection (Doggart, 1933; Bjork, 1950; Duke-Elder, 1952). Koch (1939), in reporting a case in a child of 51 years of age, states that only one other child, aged 12, developed zoster ophthalmicus at the Mayo Clinic before 1938. In a fairly exhaustive analysis o...

Herpes Zoster Ophthalmicus in Children

Herpes zoster ophthalmicus, first described fully by Jonathan Hutchinson in 1866, is very rare in children, being predominantly an adult affection (Doggart, 1933; Bjork, 1950; Duke-Elder, 1952). Koch (1939), in reporting a case in a child of 51 years of age, states that only one other child, aged 12, developed zoster ophthalmicus at the Mayo Clinic before 1938. In a fairly exhaustive analysis o...