A total of 375 patients with neurologic syndromes of herpes zoster were studied. Ten of them presented, along with the involvement of the first branch of the trigeminal nerve and other cranial nerves, contralateral pyramidal symptomatology. Apart from the typical syndrome of herpes zoster ophthalmicus with contralateral hemiplegia the authors distinguished clinical variants in which contralateral pyramidal symptomatology was associated with acute meningoencephalitis.
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