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CEREBRAL INFARCTION FOLLOWING THORACIC HERPES ZOSTER
Author(s) -
Kumar Ajay,
Mollison Lindsay
Publication year - 1993
Publication title -
australasian journal of dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.67
H-Index - 53
eISSN - 1440-0960
pISSN - 0004-8380
DOI - 10.1111/j.1440-0960.1993.tb00877.x
Subject(s) - medicine , cerebral infarction , dermatology , cardiology , ischemia
S ummary Objective: To present a case of cerebral infarction following thoracic herpes zoster presenting as Gerstmann's syndrome. Clinical features: A 61 year old male developed herpes zoster of T 1‐2 dermatomes. Four months later he developed a confusional state together with expressive aphasia, dyscalculia, dysgraphia and finger agnosia with no long tract signs. CT scan of head showed recent infarction of this left parietal lobe. He recieved a five day course of acyclovir 800mg four times daily and showed slow but steady improvement Conclusion: Herpes zoster is uncommonly followed by cerebral infarction. Acyclovir may have a role in therapy of this complication.