Relief of acute pain in herpes zoster ophthalmicus by stellate ganglion block.

Harding, Simon; Lipton, J R; Wells, J. C. D.; Campbell, Jackie

doi:10.1136/bmj.292.6533.1428

Cited by 32 publications

(8 citation statements)

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“…Chronic pain management is generally similar to that for PHN in other dermatomes and includes gabapentin or pregabalin, TCAs, opioid analgesics, and lidocaine gel (which is preferable to the lidocaine patch for periophthalmic use). Local nerve blocks or sympathetic blocks can be used for pain that is refractory to firstline therapy, although there are no controlled studies of these treatments [223][224][225].…”

Section: Treatment Of Complicated Presentations Of Hzmentioning

confidence: 99%

Recommendations for the Management of Herpes Zoster

Dworkin

Johnson

Breuer

et al. 2007

Clinical Infectious Diseases

715

581

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The objective of this article is to provide evidence-based recommendations for the management of patients with herpes zoster (HZ) that take into account clinical efficacy, adverse effects, impact on quality of life, and costs of treatment. Systematic literature reviews, published randomized clinical trials, existing guidelines, and the authors' clinical and research experience relevant to the management of patients with HZ were reviewed at a consensus meeting. The results of controlled trials and the clinical experience of the authors support the use of acyclovir, brivudin (where available), famciclovir, and valacyclovir as first-line antiviral therapy for the treatment of patients with HZ. Specific recommendations for the use of these medications are provided. In addition, suggestions are made for treatments that, when used in combination with antiviral therapy, may further reduce pain and other complications of HZ.

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Section: Treatment Of Complicated Presentations Of Hzmentioning

confidence: 99%

Recommendations for the Management of Herpes Zoster

Dworkin

Johnson

Breuer

et al. 2007

Clinical Infectious Diseases

715

581

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“…Anaesthesia based interventions, such as stellate ganglion block, may produce short term pain relief24 but are not done on a regular basis. In addition, no evidence exists for their effectiveness in reducing the risk of protracted pain 25…”

Section: Additional Therapymentioning

confidence: 99%

Managing ophthalmic herpes zoster in primary care

Opstelten

Zaal

2005

BMJ

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“…Zudem zeigen die Zahlen einiger Erhebungen in Übereinstimmung mit ersten eigenen Erfahrungen, daß eine [51]. Bei der Behandlung der Zosterneuralgie kann als wesentliches Kriterium für einen SMP, anders als bei den vorgenannten Schmerzsyndromen, auch die spätere Prävention der postzosterischen Neuralgie (PZN) durch rechtzeitige Blockadetherapie herangezogen werden.…”

Section: Posttraumatische Neuropathieunclassified

Diagnostik und Therapie des sympathisch unterhaltenen Schmerzes

Maier

Gleim

1998

Der Schmerz

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The term "sympathetically maintained pain" (SMP) describes a symptom that might accompany a variety of diseases (CRPS, (post-) herpetic and post-injury neuralgia), which might transform into sympathetically independent pain (SIP) after some time. Patients with SMP present a bunch of disorders of the autonomic and sensory system, but the only reliable way to diagnose a pain as SMP is a positive response to an intervention at the sympathetic nervous system. Three ways of influencing the sympathetic system are commonly used: (a) local anesthetic sympathetic blockade (SB), (b) intravenous regional sympathectomy (IVRS) and (c) ganglionic local opioid application (GLOA). A review of current literature shows that SB has certain advantages in diagnostic sensitivity, whereas GLOA might be slightly superior in therapy of some diseases with longstanding pain history. Obviously, the therapeutic benefit of all interventions is complete independent of the accompanying autonomic disorder and of a blockade of efferent fibers. A new heuristic model of the SMP mechanism is presented, including both experimental and clinical data. For reducing the risks of false positive or negative diagnosis of SMP and SIP, a diagnostic algorithm is proposed. This includes optimizing the technique, changes of interventional measures, and adequate monitoring both of analgesia and as well of the extend of efferent sympathetic blockade (e.g. measurement of sympathetic reflexes). The treatment recommendations in patients with SMP vary in dependence of the kind of disease. In SMP, invasive measures play an important, but only limited role within the comprehensive treatment concept. As an example a three-stage, symptom-adapted treatment algorithm is demonstrated for CRPS, including also drug therapy, psychologic and physiotherapeutic approaches.

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Relief of acute pain in herpes zoster ophthalmicus by stellate ganglion block.

Cited by 32 publications

References 0 publications

Recommendations for the Management of Herpes Zoster

Recommendations for the Management of Herpes Zoster

Managing ophthalmic herpes zoster in primary care

Diagnostik und Therapie des sympathisch unterhaltenen Schmerzes

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