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KMID : 1034720200120020091
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Journal of Neurosonology and Neuroimaging
2020 Volume.12 No. 2 p.91 ~ p.94
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Herpes Zoster Ophthalmicus Presenting as Acute Orbital Inflammation Preceding the Vesicular Rash
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Bae Dae-Woong
An Jae-Young
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Abstract
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Herpes zoster ophthalmicus (HZO) can affect various structures in the orbit. Here, we report a very rare case of HZO in a 54-year-old male presented with acute orbital inflammation preceding vesicular eruption. Orbital magnetic resonance imaging revealed findings of orbital myositis, dacryoadenitis, and orbital cellulitis in addition to the enhancement of the right trigeminal ophthalmic branch and ultrasonography demonstrated swelling of the right supraorbital nerve. The patient experienced a significant improvement without any residual complications with intravenous acyclovir, oral steroids and ultrasonography-guided supraorbital nerve block. This case demonstrates that HZO can initially present with a wide variety of symptoms, including acute orbital inf lammation without a vesicular rash, and the varicella-zoster virus should be considered as a cause of acute orbital inflammation.
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KEYWORD
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Herpes zoster ophthalmicus, Orbital myositis, Dacryoadenitis, Orbital cellulitis
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