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: 01 December 2012
- Neurographics is the peer-reviewed, quarterly educational journal of the American Society of Neuroradiology. The journal includes review articles as well as high-yield case reports that have been solicited from society meetings, including the annual meeting of the ASNR as well as the American Society of Spine Radiology, the American Society of Pediatric Neuroradiology, the American Society of Functional Neuroradiology, and the American Society of Head and Neck Radiology meetings. Unsolicited educational review articles and case reports are also accepted for review at the discretion of the Editor-in-Chief. Submissions focusing on a pictorial approach to educational objectives are highly encouraged. The journal is open access and available online. CME credit is offered for reading review articles and completing activity evaluations through the ASNR Education Connection website: https://www.pathlms.com/asnr
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