Herpes Zoster Ophthalmicus Affecting the Spinal Trigeminal Nucleus and Tract
We report a case of a patient with herpes zoster ophthalmicus involving the spinal trigeminal nucleus and tract. The patient presented with 1 week of right-sided eye pain associated with swelling, white discharge, and ulcerative papules involving the surrounding skin. MR imaging showed
findings typical of disease involving the ophthalmic division of the trigeminal nerve, with additional linear signal-intensity abnormality of the ipsilateral brain stem. This constellation of findings is consistent with transaxonal spread of herpes zoster along the trigeminal nerve and the
STNT.
Keywords: STN = spinal trigeminal nucleus; STNT = spinal trigeminal nucleus and tract; STT = spinal trigeminal tract; VPM = ventral posterior medial nucleus; VZV = varicella zoster virus
Document Type: Research Article
Publication date: December 1, 2012
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