Role of Magnetic Resonance Imaging in Herpes Zoster Ophthalmicus Ophthalmoplegia
Journal Title: Ophthalmology Research: An International Journal - Year 2014, Vol 2, Issue 4
Abstract
Aims: To hypothesize the mechanisms of herpes zoster ophthalmicus (HZO) related ophthalmoplegia by magnetic resonance imaging (MRI). Case Presentation: A 61-year-old Chinese man diagnosed with right sided HZO and a positive Hutchinson’s sign, subsequently developed right eye complete ptosis, mydriasis and limitation of elevation 1 month after the onset of HZO. MRI showed thickening and enhancement of right oculomotor nerve and enhancement of right extraocular muscles. CSF revealed leukocytosis and positive varicella zoster virus (VZV) DNA without any clinical signs of meningitis. The diagnosis HZO-related ophthalmoplegia and asymptomatic VZV meningitis was made based on the clinical and laboratory findings. The external ocular muscle palsies of this patient were due to both oculomotor nerve palsy and orbital myositis demonstrated by MRI. Conclusion: The pathogenesis of HZO associated ophthalmoplegia is attributed to multiple factors such as neuritis of the cranial nerve and orbital myositis which can be diagnosed with MRI.
Authors and Affiliations
Sandy Zhou Wenting, Srinivasan Sanjay
Keywords
Related Articles
- EP ID EP338978
- DOI 10.9734/OR/2014/8098
- Views 97
- Downloads 0
Conjunctiva Histology in Long-standing Esotropia
Background: Conjunctiva can be restrictive in long-standing strabismus. To date, there are no reports in the literature describing the histology of the conjunctiva in these patients. Methods: Conjunctiva biopsies over th...
The Effect of an Air Bubble in the Anterior Chamber on the Change in Intraocular Pressure (IOP)
Purpose: To compare rate of change in IOP with and without air bubbles in the anterior chamber (AC). Methods: Enucleated porcine eyes were infused with Balanced Salt Solution (BSS) at 10μl/min. In one experiment, 5 eyes...
A Patient’s Viewpoint of Cataract and Retinal Detachment Surgeries
Aims: The purpose of this paper is to (1) describe the changing details of a complex medical case study from the patient’s view allowing the reader to continually evaluate complications resulting from cataract and retina...
Prospective Pilot Study Looking at the Size and Variation of the Blind Spot Scotoma in Adults Measured on the Octopus 900 Field Analyser
Aims: Literature regarding the size of the blind spot is old and recorded on instruments no longer in production. This pilot study looks to provide normative data for the size of the visual blind spot scotoma in adults m...
Intraoperative Complications of Laser in Situ Keratomileusis in Yazd
Purpose: Laser in situ keratomileusis (LASIK) is a popular method for correcting refractive errors. We survived the incidence and types of LASIK intraoperative flap complications in Yazd refractive surgery center. Method...