Orbital and Cavernous Sinus Involvement by Herpes Zoster Ophthalmicus

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Identifier EEC-Case-Zoster Ophthalmoplegia
Title Orbital and Cavernous Sinus Involvement by Herpes Zoster Ophthalmicus
Creator Jason Peragallo, MD; Valérie Biousse, MD
Affiliation (JP) Emory Eye Center, Atlanta, Georgia; (VB) Cyrus H. Stoner Professor of Ophthalmology, Professor of Ophthalmology and Neurology, Departments of Ophthalmology and Neurology, Emory University School of Medicine, Atlanta, Georgia
Subject Herpes Zoster Ophthalmicus; Cavernous Sinus Syndrome; Orbital Myositis
Description A single case of the effects of herpes zoster is demonstrated using external photographs and MRI imaging. The effects demonstrated include the typical dermatomal rash as well as extraocular muscle invovlement and cavernous sinus involvement. Figure 1 : External photograph of dermatomal rash and scar in left V1 distribution, left upper lid ptosis. Figure 2 : Motility photographs showing ptosis, limited abduction, elevation, and depression of the left eye leading to diplopia, suggestive of left third and sixth nerve palsies with possible orbital myositis Figure 3 : Axial T2 fat suppressed MRI image demonstrating relative hyperintense signal and thickening of the left extraocular muscles Figure 4 : Axial T1 post contrast fat suppressed MRI image demonstrating left medial rectus muscle, orbital apex, and left cavernous sinus enhancement Figure 5 : Coronal T1 post contrast fat suppressed MRI image through the cavernous sinuses demonstrating enhancement of the left cavernous sinus.
Date 2014
Language eng
Format application/pdf
Format Creation Microsoft PowerPoint
Type Text
Collection Neuro-Ophthalmology Virtual Education Library - The Emory Eye Center Neuro-Ophthalmology Collection: https://novel.utah.edu/eec/
Publisher North American Neuro-Ophthalmology Society
Holding Institution Spencer S. Eccles Health Sciences Library, University of Utah, 10 N 1900 E SLC, UT 84112-5890
Rights Management Copyright 2002. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright
ARK ark:/87278/s6j41q2t
Setname ehsl_novel_eec
ID 177370
Reference URL https://collections.lib.utah.edu/ark:/87278/s6j41q2t
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