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External ophthalmoplegia due to ocular myositis in a patient with ophthalmic herpes zoster.

Abstract
External ocular muscle palsies in patients with ophthalmic zoster are traditionally interpreted as diseases of III, IV or VI cranial nerves. Orbital myositis associated with zoster ophthalmicus has been diagnosed only rarely. We describe a patient with ophthalmic zoster and external ophthalmoplegia due to ocular myositis demonstrated by MR imaging. Treatment with acyclovir and cortisone resulted in a rapid improvement of the ophthalmoplegia. In ophthalmic herpes zoster associated with external ocular muscle palsies, ocular myositis is an important differential diagnosis to inflammatory involvement of the cranial nerves III, IV, and VI.
AuthorsM Krasnianski, M Sievert, V Bau, S Zierz
JournalNeuromuscular disorders : NMD (Neuromuscul Disord) Vol. 14 Issue 7 Pg. 438-41 (Jul 2004) ISSN: 0960-8966 [Print] England
PMID15210167 (Publication Type: Case Reports, Journal Article)
Chemical References
  • Antiviral Agents
  • Gadolinium
  • Cortisone
  • Acyclovir
Topics
  • Acyclovir (therapeutic use)
  • Aged
  • Antiviral Agents (therapeutic use)
  • Brain Stem (drug effects, pathology)
  • Cortisone (therapeutic use)
  • Female
  • Gadolinium
  • Herpes Zoster Ophthalmicus (complications, diagnosis, drug therapy)
  • Humans
  • Magnetic Resonance Imaging (methods)
  • Myositis (complications, diagnosis, drug therapy)
  • Ophthalmoplegia (diagnosis, drug therapy, etiology)

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