Magnetic resonance imaging of third cranial nerve palsy and trigeminal sensory loss caused by herpes zoster.
A 44-year-old man with right-sided herpes zoster ophthalmicus (HZO) developed ipsilateral third and sixth cranial nerve palsies and first-division trigeminal (fifth cranial nerve) sensory loss. MRI revealed contrast enhancement of the cisternal and cavernous portions of the third cranial nerve and high signal on a FLAIR sequence within the ipsilateral medulla at the presumed location of the trigeminal nucleus and tract. To our knowledge, this is the first report of the combination of these imaging findings in HZO.
Quisling
Susannah V
SV
Department of Ophthalmology, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA.
Shah
Vinay A
VA
Lee
Ho K
HK
Policeni
Bruno
B
Smoker
Wendy R K
WR
Martin
Coleman
C
Lee
Andrew G
AG
D000328:Adult; D001921:Brain / Q000473:pathology*; D003937:Diagnosis, Differential; D006563:Herpes Zoster Ophthalmicus / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D006987:Hypesthesia / Q000175:diagnosis / Q000209:etiology*; D008279:Magnetic Resonance Imaging; D008297:Male; D015840:Oculomotor Nerve Diseases / Q000175:diagnosis / Q000209:etiology*; D020433:Trigeminal Nerve Diseases / Q000175:diagnosis / Q000209:etiology*