Delayed trochlear nerve palsy in a case of zoster oticus.
A 57-year-old man with herpes zoster oticus developed a delayed fourth nerve palsy followed by transient intermittent sixth nerve weakness. Trochlear nerve lesions occur rarely with zoster, particularly in the absence of zoster ophthalmicus. A knowledge of the wide range of motor manifestations and the chronicity of meningitis with zoster will afford earlier diagnosis without resort to arteriography.
D003937:Diagnosis, Differential; D004172:Diplopia / Q000209:etiology; D004427:Ear Diseases / Q000150:complications*; D005158:Facial Paralysis / Q000150:complications; D006562:Herpes Zoster / Q000150:complications*; D006801:Humans; D008297:Male; D008581:Meningitis / Q000150:complications; D008875:Middle Aged; D009886:Ophthalmoplegia / Q000209:etiology*; D013997:Time Factors; D014321:Trochlear Nerve