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October 1977

Herpes Zoster Ophthalmicus With Contralateral Hemiplegia

Author Affiliations

From the Neurology Service, Nashville (Tenn) Veterans Administration Hospital. Dr Pratesi is now with the Department of Pediatrics, Primeiro Hospital Distrital de Brasilia (Brazil). Dr Lowry is now in private practice in Albuquerque, New Mexico.

Arch Neurol. 1977;34(10):640-641. doi:10.1001/archneur.1977.00500220074015

• A 48-year-old man developed left hemiparesis nine weeks after herpes zoster skin lesions had appeared over the right forehead. Cerebral angiography showed bilateral changes consistent with cerebral arteritis. The patient's condition worsened after the angiographic procedure. Reports from the literature as well as the present case suggest that arteritis and ischemia best explain contralateral neurological symptoms that occur suddenly following herpes zoster ophthalmicus.

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