Mackenzie R A, Ryan P, Karnes W E, Okazaki H
Concord Hospital, New South Wales.
Clin Exp Neurol. 1987;23:219-24.
This paper describes the pathological findings in two cases of delayed contralateral hemiparesis following herpes zoster arteritis. Both died of cerebral haemorrhage and a necrotizing angiitis was found involving the major vessels of the ipsilateral cerebral hemisphere. No feature of granulomatous arteritis or of encephalitis was found. It is likely that the virus spreads along intracranial branches of the ophthalmic nerve supplying the major arteries and causes the inflammatory reaction by direct invasion of vascular muscle.
本文描述了两例带状疱疹性动脉炎后迟发性对侧偏瘫的病理发现。两人均死于脑出血，发现坏死性血管炎累及同侧大脑半球的主要血管。未发现肉芽肿性动脉炎或脑炎的特征。病毒很可能沿着供应主要动脉的眼神经颅内分支传播，并通过直接侵入血管平滑肌引起炎症反应。
