• Internal medicine · Oct 2024

    Case Reports

    Right-sided Herpes Zoster Ophthalmicus Complicated by Bilateral Third, Fourth, and Sixth Cranial Nerve Palsies and Syndrome of Inappropriate Antidiuretic Hormone Secretion: A Case Report.

    • Tomoaki Shima, Kairi Yamashita, Kanako Furuta, Kohei Tsujino, Saeko Nagai, Daiji Torimura, Hiroaki Ohtsuka, Yuki Tomita, Takuro Hirayama, Shunsuke Yoshimura, Teiichiro Miyazaki, Yohei Tateishi, and Akira Tsujino.
    • Department of Neurology and Strokology, Nagasaki University Hospital, Japan.
    • Intern. Med. 2024 Oct 1; 63 (19): 267326772673-2677.

    AbstractCases of herpes zoster ophthalmicus (HZO) complicated by bilateral ophthalmoplegia are rare, and no cases of bilateral third, fourth, or sixth cranial nerve palsies have been reported. Syndrome of inappropriate antidiuretic hormone secretion (SIADH) is a rare complication of HZO. We herein report an 80-year-old Japanese woman with right-sided HZO complicated by meningoencephalitis and discuss the pathogenesis of this condition. She developed bilateral third, fourth, and sixth cranial nerve palsies and SIADH almost simultaneously during treatment for HZO. The bilateral cranial palsy spontaneously resolved within a few months.

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