Powers J M
J Clin Neuroophthalmol. 1986 Jun;6(2):113-5. doi: 10.3109/01658108608997336.
A case of occipital infarction following herpes zoster involving the maxillary division of the trigeminal nerve is presented. Herpes zoster ophthalmicus is followed occasionally by an angiitis and cerebral infarction, usually manifest as a hemiplegia. Cerebral angiitis has not been reported previously following herpes zoster involving the maxillary or mandibular divisions. Patients with herpes zoster involving any trigeminal division may be at risk for delayed stroke. The distribution of rash and angiitis in this case supports the hypothesis that the virus extends directly to the large vessels adjacent to the gasserian ganglion, instead of being transmitted along intracranial nerves.
本文报告1例累及三叉神经上颌支的带状疱疹后枕叶梗死病例。眼部带状疱疹偶尔会继发血管炎和脑梗死，通常表现为偏瘫。此前尚未有累及三叉神经上颌支或下颌支的带状疱疹后发生脑血管炎的报道。累及任何三叉神经分支的带状疱疹患者可能有延迟性卒中的风险。该病例中皮疹和血管炎的分布支持以下假说：病毒直接蔓延至与半月神经节相邻的大血管，而非沿颅内神经传播。
