Freedman M S, Macdonald R D
Department of Neurology, Wellesley Hospital, Toronto, Ontario, Canada.
Can J Neurol Sci. 1987 Aug;14(3):312-4. doi: 10.1017/s031716710002669x.
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.
眼部带状疱疹可并发延迟性同侧脑动脉炎，后者可能导致梗死和隐匿性脑膜脑炎。我们描述了这样一例用类固醇和阿昔洛韦成功治疗的病例。早期考虑这种疾病的诊断很重要，因为治疗干预可能会避免原本较高的发病率和死亡率。临床症状缓解后可能需要持续使用类固醇一段时间，以血沉作为减少剂量的指导。
