眼部带状疱疹继发孤立性动眼神经麻痹：1例罕见病例报告
Isolated Internal Ophthalmoplegia Secondary to Herpes Zoster Ophthalmicus: A Rare Case Report.
作者信息
Top Karti Dilek, Aktert Dilara, Celebisoy Nese
机构信息
Department of Neurology, Bozyaka Training and Research Hospital, İzmir, Turkey.
Department of Neurology, Ege University, İzmir, Turkey.
出版信息
Neuroophthalmology. 2019 Jul 12;44(2):118-120. doi: 10.1080/01658107.2019.1618343. eCollection 2020 Apr.
Abstract
Herpes zoster becomes latent in the sensory ganglia after the primary infection and may reactivate many years later to produce shingles in adults. Involvement of the ophthalmic branch of the trigeminal nerve with this virus is called Herpes zoster ophthalmicus (HZO). The eyelid skin, cornea, uvea, retina, optic nerve and other cranial nerves can be affected by HZO. Isolated internal ophthalmoplegia can rarely be seen. Clinicians should be aware of this condition and HZO must be kept in mind in the differential diagnosis of anisocoria.
摘要
原发性感染后，带状疱疹病毒潜伏于感觉神经节，多年后可能重新激活，在成人中引发带状疱疹。该病毒累及三叉神经眼支时，称为眼部带状疱疹（HZO）。HZO可影响眼睑皮肤、角膜、葡萄膜、视网膜、视神经及其他颅神经。孤立性眼内肌麻痹较为罕见。临床医生应了解这种情况，在鉴别诊断瞳孔不等大时必须考虑HZO。
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