Sung K B, Kim S H, Kim J H, Chung K C, Kim M H
Department of Neurology, College of Medicine, Hanyang University, Seoul, Korea.
J Korean Med Sci. 1988 Jun;3(2):79-82. doi: 10.3346/jkms.1988.3.2.79.
Central nervous system is often involved by herpes zoster but it is very rarely seen that contralateral hemiparesis or hemiplegia developed after herpes zoster ophthalmicus. We report a case of herpes zoster ophthalmicus followed by the delayed contralateral hemiparesis. A 33-year-old man developed acute cerebral infarction and resultant right hemiparesis 44 days after herpes zoster ophthalmicus in the left side. Brain CT disclosed hypodense area in the left basal ganglia. Cerebral angiography revealed segmental narrowing of M1 portion of the right middle cerebral artery.
中枢神经系统常受累于带状疱疹，但带状疱疹性眼炎后出现对侧偏瘫或半身不遂的情况极为罕见。我们报告一例带状疱疹性眼炎后出现延迟性对侧偏瘫的病例。一名33岁男性在左侧带状疱疹性眼炎44天后发生急性脑梗死并导致右半身轻瘫。脑部CT显示左侧基底节区低密度灶。脑血管造影显示右侧大脑中动脉M1段节段性狭窄。
