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James R. Keane, MD

Arch Ophthalmol. 1975;93(5):382-383.

Abstract
A 57-year-old man with herpes zoster oticus developed a delayed fourth nerve palsy followed by transient intermittent sixth nerve weakness. Trochlear nerve lesions occur rarely with zoster, particularly in the absence of zoster ophthalmicus. A knowledge of the wide range of motor manifestations and the chronicity of meningitis with zoster will afford earlier diagnosis without resort to arteriography.

Author Affiliations
From the Department of Neurology, Los Angeles County-University of Southern California Medical Center, Los Angeles.

Footnotes
Submitted for publication July 6, 1973.

Reprint requests to Box 359, LAC/USC Medical Center, 1200 N State St, Los Angeles, CA 90033 (Dr. Keane).

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THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Isolated Trochlear Nerve Palsies in Herpes Zoster Ophthalmicus
Grimson and Glaser
Arch Ophthalmol 1978;96:1233-1235.
ABSTRACT