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February 1984

Benign Intracranial Tumors and Zoster Ophthalmicus

Author Affiliations

Erlangen, West Germany

Arch Ophthalmol. 1984;102(2):195. doi:10.1001/archopht.1984.01040030149012

To the Editor.  —We read with interest the article by Womack and Liesegang' on 86 patients with herpes zoster ophthalmicus. Tumors were described in 13 patients, three of whom suffered from known intracranial lesions (two from astrocytoma of the brain and one from meningioma of the brain).We recently observed two patients with zoster ophthalmicus in whom benign intracranial tumors were also seen. One 75-year-old patient with zoster ophthalmicus in the right eye had a paralysis of the right superior rectus muscle and optic atrophy develop after one year. Both conditions were considered the result of zoster ophthalmicus, as no other findings were detected on repeated neurologic examination. Only three years later three meningiomas close to the sella tunica (suprasellar, parasellar, and parasagittal) were found and removed. Another 70-year-old patient with known open-angle glaucoma since 1966 was seen with zoster ophthalmicus and bitemporal hemianopia due to a pituitary adenoma.We

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