title: Orbital Apex Syndrome Secondary to Herpes Zoster Ophthalmicus.
abstract: Orbital apex syndrome is a rare complication of herpes zoster ophthalmicus. In addition to our case, we review the clinical presentation, imaging findings, treatment options, and prognosis of 14 other reported cases. Magnetic resonance imaging of our patient demonstrated diffuse enhancement of the orbit involving the orbital apex, optic nerve and/or nerve sheath, extraocular muscles, and orbital soft tissues. There was significant clinical improvement with acyclovir and systemic corticosteroids, which seems to be preferred treatment for this disorder.
authors.affiliation: Department of Ophthalmology (FV, MV, VD), Hôpital Gui De Chauliac, Montpellier, France; Department of Neurology (PL), Hôpital Gui De Chauliac, Montpellier, France; National Institute for Health and Medical Research (INSERM) (VD), Montpellier, France.
authors.forename: Florent
authors.initials: F
authors.lastname: Verhaeghe
authors.forename: Max
authors.initials: M
authors.lastname: Villain
authors.forename: Pierre
authors.initials: P
authors.lastname: Labauge
authors.forename: Vincent
authors.initials: V
authors.lastname: Daien
mesh_terms: D000369:Aged, 80 and over; D006563:Herpes Zoster Ophthalmicus / Q000150:complications*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D009801:Oculomotor Muscles / Q000000981:diagnostic imaging*; D009886:Ophthalmoplegia / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology; D013577:Syndrome