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Herpes Zoster Ophthalmicus and Granulomatous Angiitis: An Ill‐Appreciated Cause of Stroke
Author(s) -
Verghese Abraham,
Sugar Alan M.
Publication year - 1986
Publication title -
journal of the american geriatrics society
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.992
H-Index - 232
eISSN - 1532-5415
pISSN - 0002-8614
DOI - 10.1111/j.1532-5415.1986.tb04227.x
Subject(s) - herpes zoster ophthalmicus , medicine , varicella zoster virus , stroke (engine) , dermatology , population , disease , pediatrics , surgery , pathology , virus , immunology , mechanical engineering , environmental health , engineering
The syndrome of granulomatous angiitis related to varicella zoster virus infection often manifests as herpes zoster ophthalmicus followed by contralateral hemiplegia. Forty‐five cases have been reported to date, and the authors' experience with two additional cases seen in a one‐year period is described. Given the frequency of both stroke and herpes zoster ophthalmicus in an aging population, the authors postulate that granulomatous angiitis is underdiagnosed. There is need for increased awareness of this disease by the non‐neurologist. Diagnostic and therapeutic considerations are reviewed.