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Optic neuropathy and ophthalmoplegia in herpes zoster oticus

Department of Neurology, Sir Charles Gairdner Hospital, and the University Department of Medicine, Queen Elizabeth II Medical Centre, Nedlands, Western Australia.

A 55-year-old man with herpes zoster oticus and minimal cutaneous involvement developed reversible optic neuropathy, and ocular motor and cerebellar abnormalities. Serologic changes confirmed infection with herpes zoster. A demyelinating process seems likely to have been responsible for these lesions. It is suggested that herpes zoster antibody titers should be measured whenever the syndrome of polyneuritis cranialis of acute onset is being investigated.

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