Síndrome de ápex orbitario por herpes zoster ophthalmicus

  1. C. Ruiz-Arranz 1
  2. J.A. Reche-Sainz 1
  3. M.C. de Uña-Iglesias 1
  4. A. Ortueta-Olartecoechea 1
  5. A. Muñoz-Gallego 1
  6. M. Ferro-Osuna 1
  1. 1 Hospital Universitario 12 de Octubre
    info

    Hospital Universitario 12 de Octubre

    Madrid, España

    ROR https://ror.org/00qyh5r35

Journal:
Archivos de la Sociedad Española de Oftalmologia

ISSN: 0365-6691

Year of publication: 2021

Volume: 96

Issue: 7

Pages: 384-387

Type: Article

DOI: 10.1016/J.OFTAL.2020.06.015 DIALNET GOOGLE SCHOLAR

More publications in: Archivos de la Sociedad Española de Oftalmologia

Abstract

Herpes zoster ophthalmicus usually presents with ocular manifestations, but neurological complications are much more infrequent. An 84-year-old woman with herpes zoster of the left first trigeminal branch developed herpetic keratouveitis in her left eye despite treatment with oral valaciclovir. Seven days later, a progressive and total left ophthalmoplegia appeared, requiring hospital admission and intravenous treatment with acyclovir and corticosteroids. The neuroimaging was suggestive of an orbital apex syndrome. The evolution of the ophthalmoplegia was favourable, with complete resolution at 5 months, but with decreased visual acuity due to the optic nerve involvement.

Data source: Dialnet