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Severe Headache with Eye Involvement from Herpes Zoster Ophthalmicus, Trigeminal Tract, and Brainstem Nuclei
Joint Authors
Siritho, Sasitorn
Pumpradit, Wadchara
Suriyajakryuththana, Wiboon
Pongpirul, Krit
Source
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-04-02
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
A 43-year-old female presented with severe sharp stabbing right-sided periorbital and retroorbital area headache, dull-aching unilateral jaw pain, eyelid swelling, ptosis, and tearing of the right eye but no rash.
The pain episodes lasted five minutes to one hour and occurred 10–15 times per day with unremitting milder pain between the attacks.
She later developed an erythematous maculopapular rash over the right forehead and therefore was treated with antivirals.
MRI performed one month after the onset revealed small hypersignal-T2 in the right dorsolateral mid-pons and from the right dorsolateral aspect of the pontomedullary region to the right dorsolateral aspect of the upper cervical cord, along the course of the principal sensory nucleus and spinal nucleus of the right trigeminal nerve.
No definite contrast enhancement of the right brain stem/upper cervical cord was seen.
Orbital imaging showed no abnormality of bilateral optic nerves/chiasm, extraocular muscles, and globes.
Slight enhancement of the right V1, V2, and the cisterna right trigeminal nerve was detected.
Our findings support the hypothesis of direct involvement by virus theory, reflecting rostral viral transmission along the gasserian ganglion to the trigeminal nuclei at brainstem and caudal spreading along the descending tract of CN V.
American Psychological Association (APA)
Siritho, Sasitorn& Pumpradit, Wadchara& Suriyajakryuththana, Wiboon& Pongpirul, Krit. 2015. Severe Headache with Eye Involvement from Herpes Zoster Ophthalmicus, Trigeminal Tract, and Brainstem Nuclei. Case Reports in Radiology،Vol. 2015, no. 2015, pp.1-4.
https://search.emarefa.net/detail/BIM-1059914
Modern Language Association (MLA)
Siritho, Sasitorn…[et al.]. Severe Headache with Eye Involvement from Herpes Zoster Ophthalmicus, Trigeminal Tract, and Brainstem Nuclei. Case Reports in Radiology No. 2015 (2015), pp.1-4.
https://search.emarefa.net/detail/BIM-1059914
American Medical Association (AMA)
Siritho, Sasitorn& Pumpradit, Wadchara& Suriyajakryuththana, Wiboon& Pongpirul, Krit. Severe Headache with Eye Involvement from Herpes Zoster Ophthalmicus, Trigeminal Tract, and Brainstem Nuclei. Case Reports in Radiology. 2015. Vol. 2015, no. 2015, pp.1-4.
https://search.emarefa.net/detail/BIM-1059914
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1059914