Is it Possible Herpes Zoster Oticus Induced Diplopia?

Herpes zoster oticus (HZO) is a viral infection of the ear. Most patients with Herpes zoster oticus have diverse symptoms associated with dysfunction of the 7th and 8th cranial nerves. Ocular nervous system lesions can also be involved by herpes zoster, but isolated trochlear nerve lesion involvemen...

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Bibliographic Details
Main Authors: Kyung Hyun Oh, Seok Chan Hong, Mun Young Chang, Seog Kyun Mun
Format: Article
Language:English
Published: Taiwan Society of Geriatric Emergency and Critical Medicine (TSGECM) 2017-09-01
Series:International Journal of Gerontology
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1873959816301557
Description
Summary:Herpes zoster oticus (HZO) is a viral infection of the ear. Most patients with Herpes zoster oticus have diverse symptoms associated with dysfunction of the 7th and 8th cranial nerves. Ocular nervous system lesions can also be involved by herpes zoster, but isolated trochlear nerve lesion involvement is extremely rare. We discriminate other possible factors causing isolated trochlear nerve palsy and found a clear improvement of vertical diplopia after use of antiviral agent without systemic steroid. We report a case of delayed trochlear nerve palsy induced by Herpes zoster oticus in a 69-year-old male with a review of the literature.
ISSN:1873-9598