Neurological complications of herpes zoster
- 1 December 1990
- journal article
- Published by Springer Science and Business Media LLC in Neurological Sciences
- Vol. 11 (6), 559-565
- https://doi.org/10.1007/bf02337438
Abstract
We report 31 cases of herpes zoster (HZ) with neurological complications: 14 with cranial nerve deficits, 1 with cranial nerve deficit associated with segmental motor disorder, 3 with segmental motor, deficits, 2 with meningoencephalitis, 2 with meningoencephalitis associated with cranial neuropaty or myelitis, 2 with meningitis, 2 with hemiplegia contralateral to the ophthalmic HZ, 1 with hemiplegia and motor deficit and finally 1 with hemiplegia and a cranial neuropathy. Smoking was the putative risk factor in 53% of our patients together with diabetes, which has already been mentioned in the literature. We frequently observed more than one complication in succession (19.3%) that could not easily be related to the cutaneous distribution. Acyclovir had no demonstrable positive effects on neurological complication in our patients. Riportiamo 31 casi di HZ complicato: 14 casi di deficit di nervi cranici, 1 caso con deficit di un nervo cranico più deficit di moto segmentario, 3 deficit di moto, 2 meningo-encefaliti, 1 meningo-encefalite con deficit di un nervo cranico ed 1 complicata da mielite, 2 meningiti, 2 mieliti, 2 emiplegie controlaterali a HZ oftalmico, 1 emiplegia controlaterale più deficit motorio ed 1 con deficit di nervo cranico. Come possibile fattore favorente le complicazioni proponiamo il fumo di sigaretta (presente come unico elemento nel 53% dei pazienti), oltre al diabete già menzionato in numerose casistiche. Molto frequenti nella nostra casistica le associazioni di più complicazioni diverse in successione temporale (19,3%) anche non facilmente spiegabili in senso topografico. Non dimostrabile nei nostri pazienti l’influenza positiva della terapia con acyclovir.Keywords
This publication has 38 references indexed in Scilit:
- Herpes zoster and its neurological complicationsHeart, 1987
- Thrombotic cerebral vasculopathy associated with herpes zosterAnnals of Neurology, 1986
- Contralateral hemiparesis following herpes zoster ophthalmicus.Journal of Neurology, Neurosurgery & Psychiatry, 1985
- Herpes zoster ophthalmicus followed by contralateral hemiparesis: report of two cases and review of literature.Journal of Neurology, Neurosurgery & Psychiatry, 1985
- Herpes zoster ophthalmicus with contralateral hemiplegia: Identification of causeAnnals of Neurology, 1983
- Herpes Zoster-Associated EncephalitisMedicine, 1983
- Herpes zoster myelitis treated with vidarabine.Journal of Neurology, Neurosurgery & Psychiatry, 1982
- ACYCLOVIR IN HERPES ZOSTERThe Lancet, 1981
- Segmentale motorische Paresen beim Zoster*Deutsche Medizinische Wochenschrift (1946), 1969
- Zoster EncephalomyelitisArchives of Neurology, 1964