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Herpes zoster ophthalmicus with cerebral angiitis and reduced cerebral blood flow

1986; Wiley; Volume: 74; Issue: 6 Linguagem: Inglês

10.1111/j.1600-0404.1986.tb07871.x

1600-0404

Leif Gjerstad, R Nyberg-Hansen, O. Bjørland, P. Nakstad, David Russell, K. Rootwelt,

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Acta Neurologica ScandinavicaVolume 74, Issue 6 p. 460-466 Herpes zoster ophthalmicus with cerebral angiitis and reduced cerebral blood flow L. Gjerstad, Corresponding Author L. Gjerstad Departments of Neurology, Bærum Hospital, Sandvika, NorwayDepartment of Neurology Rikshospitalet 0027 Oslo 1, NorwaySearch for more papers by this authorR. Nyberg-Hansen, R. Nyberg-Hansen Departments of Neurology, Bærum Hospital, Sandvika, NorwaySearch for more papers by this authorO. Bjørland, O. Bjørland Department of Medicine, Bærum Hospital, Sandvika, NorwaySearch for more papers by this authorP. Nakstad, P. Nakstad Departments of Radiology, Bærum Hospital, Sandvika, NorwaySearch for more papers by this authorD. Russell, D. Russell Departments of Neurology, Bærum Hospital, Sandvika, NorwaySearch for more papers by this authorK. Rootwelt, K. Rootwelt Departments of Clinical Chemistry, The National Hospital, University of Oslo, Bærum Hospital, Sandvika, NorwaySearch for more papers by this author L. Gjerstad, Corresponding Author L. Gjerstad Departments of Neurology, Bærum Hospital, Sandvika, NorwayDepartment of Neurology Rikshospitalet 0027 Oslo 1, NorwaySearch for more papers by this authorR. Nyberg-Hansen, R. Nyberg-Hansen Departments of Neurology, Bærum Hospital, Sandvika, NorwaySearch for more papers by this authorO. Bjørland, O. Bjørland Department of Medicine, Bærum Hospital, Sandvika, NorwaySearch for more papers by this authorP. Nakstad, P. Nakstad Departments of Radiology, Bærum Hospital, Sandvika, NorwaySearch for more papers by this authorD. Russell, D. Russell Departments of Neurology, Bærum Hospital, Sandvika, NorwaySearch for more papers by this authorK. Rootwelt, K. Rootwelt Departments of Clinical Chemistry, The National Hospital, University of Oslo, Bærum Hospital, Sandvika, NorwaySearch for more papers by this author First published: December 1986 https://doi.org/10.1111/j.1600-0404.1986.tb07871.xCitations: 15AboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onEmailFacebookTwitterLinkedInRedditWechat Abstract ABSTRACT— Two patients with herpes zoster ophthalmicus (HZO) who experienced a delayed contralateral hemiparesis, the so-called crossed zoster syndrome, are described. Particular emphasis is paid to the cerebral blood flow (CBF) findings studied with the Xenon-133 inhalation technique using single photon emission computed tomography (SPECT). In a 40-year-old female with right-sided hemiparesis, angiography showed multiple segmental narrowings of the intracerebral arteries. Cerebral computer tomography (CT) scans were normal. The CBF studied 11 months after the HZO showed a generalized reduction of flow which, however, was more pronounced in the left hemisphere. On re-examination 8 months later both the mean hemispheric flow and regional CBF (rCBF) had increased to normal values. In a 66-year-old male with dysphasia and right-sided hemiparesis, cerebral CT scans demonstrated two small deep left-sided infarcts. CBF examination showed a generalized reduction of flow in the left hemisphere. The flow was slightly increased on re-examination 12 months later. These findings suggest that the Xenon-133 inhalation method represents a useful way to demonstrate the CBF pattern in this group of patients. References 1 Cope S., Jones A T. Hemiplegia complicating ophthalmic zoster. Lancet 1954: 2: 898 – 899. 2 Doyle P W, Gibson G., Dolman C L. Herpes zoster ophthalmicus with contralateral hemiplegia: identification of cause. Ann Neurol 1983: 14: 84 – 85. 3 Kolodny E H, Rebeiz J J, Caviness V S, Richardson E P. Granulomatous angiitis of the central nervous system. Arch Neurol 1968: 19: 510 – 524. 4 Gasperetti C., Kuy Song S. Contralateral hemiparesis following herpes zoster ophthalmicus. J Neurol Neurosurg Psychiat 1985: 48: 338 – 341. 5 Eidelberg D., Sotrel A., Horoupian D S, Neumann P E, Pumarola-Sune T., Price R W. Thrombotic cerebral vasculopathy associated with herpes zoster. Ann Neurol 1986: 19: 7 – 14. 6 MacKenzie R A, Forbes G S, Karnes W E. Angiographic findings in herpes zoster arteritis. 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Herpes zoster ophthalmicus and delayed contralateral hemiparesis. JAMA 1974: 229: 302 – 304. Citing Literature Volume74, Issue6December 1986Pages 460-466 ReferencesRelatedInformation