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Logo of bmjcrInstructions for authorsCurrent ToCBMJ Case Reports
BMJ Case Rep. 2010; 2010: bcr11.2009.2440.
Published online May 4, 2010. doi:  10.1136/bcr.11.2009.2440
PMCID: PMC3047490
Unusual association of diseases/symptoms
Horner’s syndrome with an ipsilateral X nerve palsy following presumed shingles
Saam Sedehizadeh1 and John Bowen2
1Queens Medical Centre, Neurology, Derby Road, Nottingham, Nottingham NG7 2UH, UK
2Lincoln County Hospital, Neurology, Greetwell Road, Lincoln, LN2 5QY, UK
Correspondence to Saam Sedehizadeh, SSedehizadeh/at/
Herpes zoster is a common clinical problem but its complications, apart from post-herpetic neuralgia, are comparatively rare. We describe a case of Horner’s syndrome and ipsilateral vagal paresis following likely herpes zoster of the third and fourth cervical roots. This unusual combination has not, to our knowledge, been previously described.
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