Horner's Syndrome and Contralateral Abducens Nerve Palsy Associated with Zoster Meningitis
Korean Journal of Ophthalmology
;
: 474-477, 2013.
Article
in English
| WPRIM
| ID: wpr-205007
ABSTRACT
A 55-year-old woman presented with diplopia following painful skin eruptions on the right upper extremity. On presentation, she was found to have 35 prism diopters of esotropia and an abduction limitation in the left eye. Two weeks later, she developed blepharoptosis and anisocoria with a smaller pupil in the right eye, which increased in the darkness. Cerebrospinal fluid analysis showed pleocytosis and a positive result for immunoglobulin G antibody to varicella zoster virus. She was diagnosed to have zoster meningitis with Horner's syndrome and contralateral abducens nerve palsy. After intravenous antiviral and steroid treatments, the vesicular eruptions and abducens nerve palsy improved. Horner's syndrome and diplopia resolved after six months. Here we present the first report of Horner's syndrome and contralateral abducens nerve palsy associated with zoster meningitis.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Magnetic Resonance Imaging
/
Tomography, X-Ray Computed
/
Horner Syndrome
/
Follow-Up Studies
/
Herpesvirus 3, Human
/
Abducens Nerve Diseases
/
Diagnosis, Differential
/
Electromyography
/
Herpes Zoster
/
Meningitis
Type of study:
Diagnostic study
/
Observational study
/
Prognostic study
/
Risk factors
Limits:
Female
/
Humans
Language:
English
Journal:
Korean Journal of Ophthalmology
Year:
2013
Type:
Article
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