Contralateral Abducens Palsy in a Case of Zoster Polyradiculitis

J Korean Neurol Assoc > Volume 23(1); 2005 > Article

Journal of the Korean Neurological Association 2005;23(1): 121-123.

대상포진에 의한 척수신경근염과 병발된 반대측 외향신경마비 1예

김남희, 김지수 박성호 이광우 한문구

서울대학교 의과대학 신경과학교실

Contralateral Abducens Palsy in a Case of Zoster Polyradiculitis

Nam-Hee Kim

Department of Neurology, Seoul National University College of Medicine, Seoul, Korea

Abstract

A 54-year-old woman with zoster in the right cervical region developed isolated left abducens palsy. She also had extensive polyradiculopathy in the right side. CSF examination revealed varicella zoster virus DNA, while magnetic resonance imaging of the brain showed no significant abnormality. After treatment with acyclovir and prednisolone, her symptoms completely improved. We report a case of cervical zoster with contralateral abducens palsy and suggest vasculitis or concomitant reactivation of VZV in the contralateral trigeminal ganglia as its mechanism. KeyWords:Cervical zoster, varicella zoster virus, abducens nerve palsy