DIPLOPIA CAUSED BY SHINGLES VIRUS

This case study from BMC Infectious Diseases reports the following abstract:

Background

Involvement of trochlear nerve during Varicella Zoster Virus (VZV) Infection has been rarely described, and always in association with skin rash.

Case presentation

We describe the case of a patient with VZV infection presenting as isolated diplopia due to fourth cranial nerve palsy. The diagnosis has been obtained through the application of a standardized molecular diagnostic panel, and diplopia resolved after specific antiviral and corticosteroid therapy.

Conclusion

This case evidences that clinicians should be aware of atypical VZV infection, even in the absence of the typical skin rash.