RESEARCH ARTICLE


Magnetic Resonance Imaging in Case of Cortical Apex Syndrome Caused by Varicella Zoster Virus



Suguru Shirato1, Toshiyuki Oshitari*, 1, 2, Katsuhiro Hanawa1, Emiko Adachi-Usami1
1 Department of Ophthalmology, Center for Sensory Organ Diseases, Sannoh Medical Center, Chiba, Japan
2 Department of Ophthalmology, Kimitsu Central Hospital, Kisarazu, Japan


© Shirato et al.; Licensee Bentham Open.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.5/), which permits unrestrictive use, distribution, and reproduction in any medium, provided the original work is properly cited.

* Address correspondence to this author at the Department of Ophthalmology, Kimitsu Central Hospital, Sakurai 1010, Kisarazu City 292-0822, Chiba, Japan; Tel: 81-428-36-1071 Fax: 81-438-36-3867 E-mail: tarii@aol.com


Abstract

We present a case of orbital apex syndrome that developed after a re-activation of varicella zoster virus. The magnetic resonance imaging showed signs of a diffuse inflammation of the ipsilateral orbital cavity, external ocular muscles and optic nerve. Pattern visually evoked cortical potentials were non-recordable by stimulating the affected eye.

Keywords: Orbital apex syndrome, varicella zoster virus, magnetic resonance imaging, visually evoked cortical potentials.