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NEUROLOGY 1981;31:1030
© 1981 American Academy of Neurology

Hemispheric infarction after herpes zoster ophthalmicus

Computed tomography and angiography

Yoshiyuki Kuroiwa, M.D. and Tetsuo Furukawa, M.D.

Department of Neurology, Japan Red Cross Medlcal Center, Tokyo, Japan.

Address correspondence and reprint requests to Dr. Kuroiwa, Department of Neurology, Institute of Brain Research, Faculty of Medicine, University of Tokyo, 7-3-1, Hongo, Bunkyo-Ku, Tokyo, 113, Japan

A 67-year-old man suffered right hemiparesis 6 weeks after the onset of left herpes zoster ophthalmicus. This is the first case, to our knowledge, with both angiographic proof of segmental narrowing in the proximal portion of the middle cerebral artery and computerized tomographic abnormality consistent with cerebral infarction on serial tests. Delayed hemiparesis contralateral to herpes zoster ophthalmicus probably is caused by a hemispheric stroke secondary to granulomatous angiitis.




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