带状疱疹累及多支颅神经1例报道及文献分析  

A case report and literature analysis of herpes zoster involving multiple cranial nerves

作　　者：田淑磊 杨梦雨 王瑛璇 刘雅文 陈迎港 王雪贞[1] Tian Shulei;Yang Mengyu;Wang Yingxuan;Liu Yawen;Chen Yinggang;Wang Xuezhen(Department of Neurology,Binzhou Medical University Hospital,Binzhou 256603,China;Department of Gynecology and Obstetrics,Binzhou Medical University Hospital,Binzhou 256603,China)

机构地区：[1]滨州医学院附属医院神经内科,滨州256603 [2]滨州医学院附属医院妇产科,滨州256603

出　　处：《国际医药卫生导报》2025年第1期111-113,共3页International Medicine and Health Guidance News

基　　金：山东省自然科学基金面上项目(ZR2021MH206)。

摘　　要：回顾并总结1例带状疱疹累及多支颅神经患者的临床表现、诊断及治疗,加深对带状疱疹感染症状的多样化认识。本例患者主要表现为右侧额顶部皮肤疼痛,多发皮疹,右眼多个方向活动受限,右眼直接、间接对光反射消失。实验室检查结果显示,单核细胞绝对值增多。典型带状疱疹病毒感染根据临床表现即可诊断,非典型带状疱疹病毒感染可通过检测泡液或血清中带状疱疹病毒诊断。Reviewing and summarizing the clinical manifestation,diagnosis,and treatment of a case of herpes zoster involving multiple cranial nerves,deepens our understanding on the diversity of symptoms of herpes zoster infection.The main manifestations of the patient were pain and rash on the right frontal and parietal skin,limitation of movement in multiple directions of the right eye,and loss of direct and indirect reflex to light of the right eye.Laboratory examination showed an increase in the absolute value of monocytes.Typical zoster virus infection can be diagnosed according to clinical manifestations,and atypical herpes zoster virus infection can be diagnosed by detection of herpes zoster virus in vesicular fluid or serum.

关 键 词：带状疱疹 三叉神经 动眼神经 滑车神经 展神经 眼球运动 

分 类 号：R752.11[医药卫生—皮肤病学与性病学] R747.9[医药卫生—临床医学]