Contralateral stroke with rapid recovery in a patient of herpes zoster ophthalmicus
- Author:
Rajesh Verma
;
Dilip Singh
;
Pawan Sharma
- Publication Type:Case Reports
- From:Neurology Asia
2011;16(3):247-250
- CountryMalaysia
- Language:English
-
Abstract:
Herpes zoster ophthalmicus commonly presents with vesicular eruptions of skin along a dermatome
and post herpetic neuralgia. Viral invasion into the intracranial vessel and resultant arteritis is rare
complication, reported mainly in elderly, children and immunocompromised individuals. We report
a young immunocompetent male who reported to us with acute right sided hemiparesis following
an episode of left sided herpes zoster ophthalmicus three months prior to stroke. Patient had a near
complete recovery of his weakness without any treatment with persistent mild dysarthria. Magnetic
resonance imaging of brain showed subacute infarct in left middle cerebral artery territory. Magnetic
resonance angiogram demonstrated marked narrowing of the proximal segment of left middle cerebral
artery. This case highlights herpes zoster ophthalmicus as one of the causes of stroke in young with
good prognosis.
- Full text:P020150818564695058708.pdf
