Abstract

RUEDA O., Oscar L.; ROBERTO A., Sandra; BOLIVAR M., Adrián  and  CALVO B., Lauren S.. Partial Palsy of the Oculomotor Nerve Due to Zoster Sine Herpete: A Case Report. Rev. Univ. Ind. Santander. Salud [online]. 2013, vol.45, n.3, pp.77-80. ISSN 0121-0807.

Introduction: Herpes zoster is the reactivation of the varicella zoster virus in the sensorial and/ or autonomic ganglia, typically characterized by cutaneous vesicular eruptions and deep pain with dermatomal distribution. Infrequently can occur the Zoster Sine Herpete; condition in which there is dermatomal distribution of the pain in absence of dermic injuries, making the diagnosis a challenge for the clinician. Case report: 69 years old man with periorbital pain, epiphora, ptosis and loss of adduction of the right eye. The imaging and laboratory studies were normal, excluding with this the main causes of oculomotor nerve palsy. A presumptive diagnosis of Zoster Sine Herpete was done and a therapeutic test with valacyclovir was initiated, showing complete resolution 6 weeks later without sequelaes. Discussion: This case may be the first in describing partial painful oculomotor nerve palsy as the only manifestation of the varicella zoster virus reactivation and seeks to aware the medical staff about a latent disease that makes from his reappearances a wide range of presentations not always easily to identify.

Keywords : Herpes Zoster; Oculomotor; Third Nerve Palsy; Zoster Sine Herpete.

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