@article{oai:sapmed.repo.nii.ac.jp:00008098, author = {高田, 英和 and 佐々木, 雄彦}, issue = {1}, journal = {北海道脳神経疾患研究所医誌 = Journal of Hokkaido Brain Research Foundation}, month = {Dec}, note = {Some cases of delayed ipsilateral cerebral infarction after herpes zoster ophthalmicus were reported previously. In this paper, we report a case of herpes zoster ophthalmicus followed by delayed ischemic symptom whose serial MRA and diamox activated cerebral blood flow study were obtained. A 25-year-old woman was admitted in our hospital suffering from right hemi-sensory impairment and dysphasia. High signal intensity area was disclosed by diffusion-weighted image of MRI and severe stenosis in left internal carotid bifurcation, proximal portion of anterior cerebral artery, middle cerebral artery and P3 segment of posterior cerebral artery was revealed by MRA. Cerebral vasodilatory capacity assessed by diamox activated ???I-IMP SPECT was limited severely but cerebral blood flow in resting stage was preserved. Treatments with steroid, anti virus drug and antiplatlet drug were applied and her symptom was improved gradually. While the stenotic change of affected vessels was remained in follow up MRA, 23-month follow up of cerebral blood flow with diamox activation showed obvious improvement in cerebral vasodilatory capacity. Serial MRA and cerebral blood flow study were valuable to assess the severity of ischemia and the effectiveness of treatment in patients with delayed ischemic events after herpes zoster ophthalmicus.}, pages = {47--50}, title = {眼部帯状疱疹後の脳血管炎による頭蓋内血管狭窄の一例}, volume = {11・12}, year = {2001} }