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Magnetic resonance imaging of third cranial nerve palsy and trigeminal sensory loss caused by herpes zoster.
Authors:Susannah V Quisling  Vinay A Shah  Ho K Lee  Bruno Policeni  Wendy R K Smoker  Coleman Martin  Andrew G Lee
Affiliation:Department of Ophthalmology, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA.
Abstract:A 44-year-old man with right-sided herpes zoster ophthalmicus (HZO) developed ipsilateral third and sixth cranial nerve palsies and first-division trigeminal (fifth cranial nerve) sensory loss. MRI revealed contrast enhancement of the cisternal and cavernous portions of the third cranial nerve and high signal on a FLAIR sequence within the ipsilateral medulla at the presumed location of the trigeminal nucleus and tract. To our knowledge, this is the first report of the combination of these imaging findings in HZO.
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