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三叉神经眼支带状疱疹常合并眼局部损害、疱疹后神经痛、颅神经损害、脑膜脑炎和少见的对侧轻偏瘫。作者报告两例带状疱疹眼炎继发对侧轻偏瘫。例1:42岁男性,有慢性肾衰史,1982年8月发现右眼带状疱疹。一年前曾接受第2次肾移植,入院时应用硫唑嘌呤及强的松。带状疱疹后30天出现右眼虹膜炎、共济失调、轻度嗜睡,EEG弥散慢波,CT扫描正常。10周后左上肢共济失调、左面肌和上下肢力弱,双侧病理征。CSF蛋白67mg%,细胞计数正常。CT扫描右尾状核低密度区。4天后右侧内囊后部和前部也有低密度区。例2:62岁男性,患
Trigeminal nerve herpes zoster often associated with local eye damage, post-herpetic neuralgia, cranial nerve damage, meningoencephalitis and rare contralateral hemiparesis. The authors report two cases of herpes zoster ophthalmia secondary contralateral hemiparesis. Example 1: 42-year-old man with a history of chronic renal failure, August 1982 found right eye shingles. A year ago received the second renal transplant, admission azathioprine and prednisone. 30 days after shingles right eye iritis, ataxia, mild drowsiness, EEG diffusion slow wave, CT scan was normal. Left upper limb ataxia after 10 weeks, weakness of the left and right lower limbs, bilateral pathological signs. CSF protein 67mg%, cell count normal. CT scan of the right caudate nucleus low density area. Four days later, there was also a low density area in the posterior and anterior parts of the right internal capsule. Example: 62-year-old man, suffering