Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2019 Feb 26;44(4):267-269.
doi: 10.1080/01658107.2019.1583759.

Horner's Syndrome Following Varicella Vaccination

Michael Henry  1 , Christopher Johnson  1 , Larissa Ghadiali  1 , Veena Raiji  1
Affiliations
Case Reports

Horner's Syndrome Following Varicella Vaccination

Michael Henry et al. Neuroophthalmology. .

Abstract

A 52-year-old female with no significant past medical history presented with disseminated herpes zoster as well as a Horner's syndrome and retinal haemorrhages 3 weeks after receiving the varicella vaccine. The patient began treatment with valacyclovir, 1g three times per day, and gabapentin, 300mg three times a day, for pain. Over the following month, the rash and the retinal haemorrhages resolved. The ptosis and anisocoria also resolved over the following two months.

Keywords: Horner’s syndrome; herpes zoster; shingles; vaccination; vaccine; varicella; zoster.

PubMed Disclaimer

Figures

Figure 1.
Figure 1.
External photograph revealing vesicular rash over erythematous macules on left leg.
Figure 2.
Figure 2.
External photograph revealing right upper and lower lid ptosis.
Figure 3.
Figure 3.
External photograph revealing resolution of right upper and lower lid ptosis after instillation of apraclonidine 1% in both eyes.
Figure 4.
Figure 4.
Retinal haemorrhage along the superior arcade of the right eye.
See this image and copyright information in PMC

References

    1. Kardon R, Trobe J.. Pupil Disorders, Is Pharmacological Testing Necessary? 2010 Annual Meeting Syllabus. North American Neuro-Ophthalmology Society, Minneapolis, MN. 2010:93–100.
    1. Tola-Arribas M, Zarco-Tejada J, Marco-Llorente J. Horner’s syndrome secondary to ophthalmic herpes zoster. Rev Neurol. 1997;25:1922–1924. - PubMed
    1. Tobin W, Spencer B, Demaerschalk B. Herpes zoster in the T1 dermatome presenting with Horner’s syndrome, radicular weakness, and postherpetic neuralgia. Int Med Case Rep J. 2008;1:1–2. - PMC - PubMed
    1. Smith E, Santamarina L, Wolintz A. Herpes zoster ophthalmicus as a cause of Horner syndrome. J Clin Neuroophthalmol. 1993;13:250–253. - PubMed
    1. Poole T, Acheson J, Smith S, Steiger M. Horner’s syndrome due to herpes zoster in the T3-T4 dermatome. J R Soc Med. 1997;90:395–396. - PMC - PubMed

Publication types

LinkOut - more resources