Reactivation of herpes zoster along the trigeminal nerve with intractable pain after facial trauma: a case report and literature review

Lin, KC; Wang, Che-Chuan; Wang, Kaiyuan; Liao, Yi-Chen; Kuo, Jinn‐Rung

doi:10.1136/bcr.07.2008.0525

Cited by 8 publications

(7 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…2,3 To our knowledge, this is the first report about reactivation of VZV after RFT in the literature. 2,3 To our knowledge, this is the first report about reactivation of VZV after RFT in the literature.…”

Section: Discussionmentioning

confidence: 78%

See 1 more Smart Citation

Varicella Zoster of the Trigeminal Nerve After Radiofrequency Thermocoagulation of the Gasserian Ganglion

Ilik¹,

Erdi²,

İlik³

et al. 2013

Neurosurgery Quarterly

View full text Add to dashboard Cite

In this report we present a case of varicella zoster infection at the third division of trigeminal nerve, which was developed after radiofrequency thermocoagulation (RFT) of the Gasserian ganglion for the treatment of trigeminal neuralgia. A-65-year-old female patient who was suffering from left-sided facial pain, a vesicular erythematous rash in the mandibular division of the trigeminal nerve, and left eye pain, was admitted to our department. The patient had suffered from trigeminal neuralgia for 5 years. Her complaints increased during the past 6 months and became refractory to the medical treatment. Finally, the patient underwent RFT of the Gasserian ganglion 1 month ago. During the past 10 days, vesicular erythematous rash, and left eye pain and tearing occurred with an exacerbation of left-sided facial pain. The painful rash consisted of varicella zoster infection. This is the first report about reactivation of varicella zoster infection after RFT in the literature. RFT of Gasserian ganglion might act as a precipitator in the reactivation of latent varicella zoster infection.

show abstract

Section: Discussionmentioning

confidence: 78%

“…1,2 Reactivation of latent VZV is a painful cutaneous eruption, dermatomal in distribution, and is associated with the risk of dissemination. 1,2 Reactivation of latent VZV is a painful cutaneous eruption, dermatomal in distribution, and is associated with the risk of dissemination.…”

mentioning

confidence: 99%

Varicella Zoster of the Trigeminal Nerve After Radiofrequency Thermocoagulation of the Gasserian Ganglion

Ilik¹,

Erdi²,

İlik³

et al. 2013

Neurosurgery Quarterly

View full text Add to dashboard Cite

show abstract

“…While it is difficult to prove that trauma was the definitive trigger in these cases of HZO, the timing of symptoms and onset is suggestive. Herpes zoster at sites of mechanical trauma has been documented in adults, with the hypothesis that traumatic stimulation of nerves leads to viral reactivation [ 32 , 33 ].…”

Section: Epidemiology and Risk Factorsmentioning

confidence: 99%

Pediatric herpes zoster ophthalmicus: a systematic review

Hakim

Riaz

Farooq

2023

Graefes Arch Clin Exp Ophthalmol

View full text Add to dashboard Cite

Purpose While typically affecting older adults and immunocompromised individuals, herpes zoster ophthalmicus (HZO) has been reported with varying manifestations and complications in children. In this review, we evaluate reported cases of pediatric HZO in the literature and discuss the epidemiology, risk factors, clinical presentation, treatment and outcomes. Methods A literature search on PubMed, Scopus, and Web of Science databases was performed using the terms “pediatric herpes zoster ophthalmicus” and “herpes zoster ophthalmicus children.” Publications that were not specific to HZO or pediatric populations were excluded, as were publications that were not available to review or not published in the English language. Results Fifty-seven reports describing 130 cases of HZO or HZO-related complications were reviewed. Major risk factors for pediatric HZO included intrauterine exposure to varicella or primary varicella infection at a young age; HZO also occurred in patients who had received varicella vaccination. Both healthy and immunocompromised children were affected, with the majority of affected children being immunocompetent. The diagnosis of HZO is primarily clinical. Children appear to have good vision recovery and resolution of symptoms if they are treated promptly and if they adhere to treatment regimens, except for irreversible vision loss related to uncommon complications such as optic neuritis. Conclusion HZO occurs in both healthy and immunocompromised children. Recognizing this treatable condition is essential for reducing ocular and systemic morbidity. Long-term follow-up and assessments of the impact on health in adulthood are lacking. More systematic study is needed to determine the incidence of HZO in children and appropriate diagnostic and treatment protocols for the care of pediatric patients with HZO.

show abstract

“…Reactivation of shingles in a previously affected dermatome after a traumatic injury has been reported [3]. There are also cases of VZV dermatomal pain developing without a prior skin rash, referred to as Zoster Sine Herpete (ZSH) [4].…”

Section: Introductionmentioning

confidence: 99%

“…Recurrent PHN episodes in the same distribution as the initial rash are often preceded by a specific event affecting that dermatome (e.g., a surgical procedures, tooth abscesses, trauma, etc.) [3].…”

Section: Introductionmentioning

confidence: 99%

Unique presentation and clinical course of shingles: A case report

Rivera¹,

Furnish²

2018

jaccr

View full text Add to dashboard Cite

We report the unique presentation of a Varicella Zoster Virus reoccurrence, commonly referred to as shingles, in a patient who developed three concurrent but different manifestations: 1. A cutaneous rash in a cervical dermatome; 2. A rash-free reoccurrence of a previous Post Herpetic Neuralgia in a different dermatome, and; 3. A rash-free, new-onset of Bell’s palsy. Literature searches did not produce any reported cases with this triad of concomitant events. The patient is a 58-year-old immunocompetent Hispanic man whose only risk factor is age greater than 50 years. He had been treated with immunosuppressants in the past for Inflammatory Bowel Disease. Immunosuppression was stopped eight years ago after undergoing a total colectomy as definitive treatment. Now immunocompetent, he develops shingles for the second time in his life, with a very unusual presentation and disease course. The presentation and course of his disease promoted the use of empiric pharmacologic treatment courses, including three courses of oral corticosteroids, for which no current guidelines exist. It is hoped that the observations drawn from the clinical course of this patient may shed light into the better understanding and treatment of Varicella Zoster Virus and Post Herpetic Neuralgia. We also discuss the possibility that each of these individual manifestations may constitute separate disease processes, requiring individual and unique evaluation and treatment. Keywords: Varicella Zoster Virus, Shingles, Post-Herpetic Neuralgia, Zoster Sine Herpete, Bell’s palsy

show abstract

Reactivation of herpes zoster along the trigeminal nerve with intractable pain after facial trauma: a case report and literature review

Cited by 8 publications

References 17 publications

Varicella Zoster of the Trigeminal Nerve After Radiofrequency Thermocoagulation of the Gasserian Ganglion

Varicella Zoster of the Trigeminal Nerve After Radiofrequency Thermocoagulation of the Gasserian Ganglion

Pediatric herpes zoster ophthalmicus: a systematic review

Unique presentation and clinical course of shingles: A case report

Contact Info

Product

Resources

About