The Australasian journal of dermatology · 1993
Cerebral infarction following thoracic herpes zoster.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Kumar A, Mollison L
Аннотация
OBJECTIVE: To present a case of cerebral infarction following thoracic herpes zoster presenting as Gerstmann's syndrome.
CLINICAL FEATURES: A 61 year old male developed herpes zoster of T 1-2 dermatomes. Four months later he developed a confusional state together with expressive aphasia, dyscalculia, dysgraphia and finger agnosia with no long tract signs. CT scan of head showed recent infarction of this left parietal lobe. He received a five day course of acyclovir 800 mg four times daily and showed slow but steady improvement.
CONCLUSION: Herpes zoster is uncommonly followed by cerebral infarction. Acyclovir may have a role in therapy of this complication.
CLINICAL FEATURES: A 61 year old male developed herpes zoster of T 1-2 dermatomes. Four months later he developed a confusional state together with expressive aphasia, dyscalculia, dysgraphia and finger agnosia with no long tract signs. CT scan of head showed recent infarction of this left parietal lobe. He received a five day course of acyclovir 800 mg four times daily and showed slow but steady improvement.
CONCLUSION: Herpes zoster is uncommonly followed by cerebral infarction. Acyclovir may have a role in therapy of this complication.