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Free Content Herpes Zoster Ophthalmicus Affecting the Spinal Trigeminal Nucleus and Tract

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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.
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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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  • Neurographics is the peer-reviewed, bimonthly educational journal of the American Society of Neuroradiology. The journal comprises articles selected from material presented at the ASNR Annual Meeting. Neurographics also publishes other high-quality submissions that are primarily educational and have a high emphasis on a pictorial approach. Neurographics offers CME credit for reading review articles and completing quiz-based self-assessment activities. CME credit for review articles may be claimed up to 3 years after an article's publication date. Visit https://members.asnr.org/webcast/content/course_list.asp?src=Neurographics to view all available CME courses.
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