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Herpes Zoster Ophthalmicus with Delayed Cerebral Infarction and Meningoencephalitis

Published online by Cambridge University Press:  18 September 2015

Mark S. Freedman  and
Ronald D. Macdonald
Mark S. Freedman
Affiliation:
Department of Neurology, The Wellesley Hospital and University of Toronto
Ronald D. Macdonald*
Affiliation:
Department of Neurology, The Wellesley Hospital and University of Toronto
*
The Wellesley Hospital, 160 Wellesley St. East, Toronto, Ontario M4Y 1J3 Canada
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Abstract:

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Herpes zoster ophthalmicus can be complicated by a delayed ipsilateral cerebral angiitis which may cause infarction and a smoldering meningoencephalitis. We describe such a case treated successfully with steroids and acyclovir. It is important to consider the diagnosis of this disorder early since therapeutic intervention may prevent an otherwise high morbidity and mortality. Steroids may have to be continued for some time after clinical resolution, using the ESR as a guideline for decreasing dosages.

Type
Original Articles
Information
Canadian Journal of Neurological Sciences , Volume 14 , Issue 3 , August 1987 , pp. 312 - 314
Copyright
Copyright © Canadian Neurological Sciences Federation 1987

References

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