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NEUROLOGY 1983;33:1428
© 1983 American Academy of Neurology

Herpes zoster ophthalmicus and delayed ipsilateral cerebral infarction

Dennis N. Bourdette, MD, Neil L. Rosenberg, MD and Frank M. Yatsu, MD

Department of Neurology (Dr. Bourdette), Oregon Health Sciences University, Portland, OR Department of Neurology (Dr. Rosenberg), University of Colorado School of Medicine, Denver, CO; and Department of Neurology (Dr. Yatsu), University of Texas Medical School at Houston, Houston, TX.

We studied five patients who had acute cerebral infarctions 5 weeks to 6 months after herpes zoster ophthalmicus (HZO). All had infarcts of the cerebral hemisphere ipsilateral to the HZO, and one also had a cerebellar infarct. Cerebral arteriography in one patient disclosed narrowing of the middle cerebral artery, occlusion of the anterior cerebral artery ipsilateral to the HZO and narrowing of the opposite anterior cerebral artery. In another case, arteriography revealed occlusion of the distal internal carotid artery on the side of the HZO.

Address correspondence and reprint requests to Dr. Yatsu, Department of Neurology, The University of Texas, Health Science Center at Houston Medical School, P.O. Box 20708, Houston, TX 77025.

This study was supported in part by the Swank Fund and the NINCDS (USPHS).

Accepted for publication March 7, 1983




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