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Herpes Zoster Ophthalmicus Mimicking Carotid Artery Dissection: A Case Report
Author(s) -
Verghese Joe,
Kachroo Arun,
Sparr Steven A.
Publication year - 1997
Publication title -
headache: the journal of head and face pain
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.14
H-Index - 119
eISSN - 1526-4610
pISSN - 0017-8748
DOI - 10.1046/j.1526-4610.1997.3710663.x
Subject(s) - herpes zoster ophthalmicus , medicine , presentation (obstetrics) , dermatology , surgery , trigeminal nerve , dissection (medical)
Herpes zoster is a common viral illness presenting with vesicular eruptions which are usually preceded by pain, erythema, and tenderness in a dermatomal distribution. The ophthalmic division of the trigeminal nerve is commonly involved (herpes zoster ophthalmicus). Early diagnosis before eruption of vesicles can be difficult and symptoms may be confused with other neurologic disorders. We present a patient with herpes zoster ophthalmicus who presented with face and neck pain associated with visual symptoms mimicking carotid artery dissection. Atypical presentation and benefits of early antiviral treatment are discussed.