Images in clinical medicine. Herpes zoster ophthalmicus followed by contralateral hemiparesis.
Images in clinical medicine. Herpes zoster ophthalmicus followed by contralateral hemiparesis.
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临床医学中的图像。
DOI：
10.1056/nejmicm010341
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发表时间：
2002
期刊：
影响因子：
--
通讯作者：
Sheen,VolneyL
中科院分区：
文献类型：
--
作者：
Nogueira,RaulG;Sheen,VolneyL
图 1. 一名 71 岁男性，有多发性骨髓瘤病史，随后接受自体骨髓移植，评估其右侧三叉神经眼支分布区域的面部皮疹（图 A）。结果与眼部带状疱疹的存在一致，他接受了静脉阿昔洛韦治疗，三周后他的皮肤病变几乎完全消退。两个月后，同样分布的皮损再次出现，精神状态进行性恶化，左侧偏瘫急性发作。检查发现右侧第三颅骨部分麻痹。 。 。
Figure 1. A 71-year-old man with a history of multiple myeloma and subsequent autologous bone marrow transplantation was evaluated for a facial rash in the distribution of the ophthalmic branch of the right trigeminal nerve (Panel A). The findings were consistent with the presence of herpes zoster ophthalmicus, and he was treated with intravenous acyclovir, leading to nearly complete resolution of his skin lesions after three weeks. Two months later, skin lesions recurred in the same distribution, with progressive worsening of his mental status and the acute onset of left hemiparesis. Examination revealed partial palsy of the right third cranial . . .