title: Horner's syndrome and contralateral abducens nerve palsy associated with zoster meningitis.
abstract: A 55-year-old woman presented with diplopia following painful skin eruptions on the right upper extremity. On presentation, she was found to have 35 prism diopters of esotropia and an abduction limitation in the left eye. Two weeks later, she developed blepharoptosis and anisocoria with a smaller pupil in the right eye, which increased in the darkness. Cerebrospinal fluid analysis showed pleocytosis and a positive result for immunoglobulin G antibody to varicella zoster virus. She was diagnosed to have zoster meningitis with Horner's syndrome and contralateral abducens nerve palsy. After intravenous antiviral and steroid treatments, the vesicular eruptions and abducens nerve palsy improved. Horner's syndrome and diplopia resolved after six months. Here we present the first report of Horner's syndrome and contralateral abducens nerve palsy associated with zoster meningitis.
authors: Department of Ophthalmology, Seoul National University College of Medicine, Seoul, Korea.
authors: Bum-Joo
authors: BJ
authors: Cho
authors: Ji-Soo
authors: JS
authors: Kim
authors: Jeong-Min
authors: JM
authors: Hwang
mesh_terms: D020434:Abducens Nerve Diseases / Q000175:diagnosis / Q000209:etiology*; D000914:Antibodies, Viral / Q000032:analysis*; D003937:Diagnosis, Differential; D004576:Electromyography; D005260:Female; D005500:Follow-Up Studies; D006562:Herpes Zoster / Q000150:complications* / Q000175:diagnosis / Q000821:virology; D014645:Herpesvirus 3, Human / Q000276:immunology*; D006732:Horner Syndrome / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008581:Meningitis / Q000150:complications* / Q000175:diagnosis / Q000821:virology; D008875:Middle Aged; D014057:Tomography, X-Ray Computed
chemical_list: D000914:Antibodies, Viral
keywords: Abducens nerve palsy; Horner syndrome; Zoster meningitis