Pratesi R, Freemon F R, Lowry J L
Arch Neurol. 1977 Oct;34(10):640-1. doi: 10.1001/archneur.1977.00500220074015.
A 48-year-old man developed left hemiparesis nine weeks after herpes zoster skin lesions had appeared over the right forehead. Cerebral angiography showed bilateral changes consistent with cerebral arteritis. The patient's condition worsened after the angiographic procedure. Reports from the literature as well as the present case suggest that arteritis and ischemia best explain contralateral neurological symptoms that occur suddenly following herpes zoster ophthalmicus.
一名48岁男性在右前额出现带状疱疹皮肤损害9周后出现左侧偏瘫。脑血管造影显示双侧改变符合脑动脉炎。血管造影检查后患者病情恶化。文献报道及本病例提示,动脉炎和缺血最能解释眼带状疱疹后突然出现的对侧神经症状。