Herpes Zoster Involving the Second Division of the Trigeminal Nerve: Case Report and Literature Review

Paquin, Rebecca; Susin, Lisiane F.; Welch, Garrett; Barnes, Jonathan; Stevens, Mark R.; Tay, Franklin R.

doi:10.1016/j.joen.2017.03.004

Cited by 20 publications

(23 citation statements)

References 27 publications

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“…Trigeminal postherpetic neuralgia is another typical example of continuous neuropathic pain. It is a complication of herpes zoster (HZ), and occurred following trigeminal neuropathic pain attributed to herpes zoster, that is also easily mistaken for toothache and induces unnecessary dental treatment in the early stage ( Paquin et al, 2017 ). Although the lesions heal within a few months, the infection by HZ induces painful trigeminal neuropathy.…”

Section: Diagnosis Of Orofacial Neuropathic Painmentioning

confidence: 99%

Orofacial Neuropathic Pain-Basic Research and Their Clinical Relevancies

Shinoda

Imamura

Hayashi

et al. 2021

Front. Mol. Neurosci.

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Trigeminal nerve injury is known to cause severe persistent pain in the orofacial region. This pain is difficult to diagnose and treat. Recently, many animal studies have reported that rewiring of the peripheral and central nervous systems, non-neuronal cell activation, and up- and down-regulation of various molecules in non-neuronal cells are involved in the development of this pain following trigeminal nerve injury. However, there are many unknown mechanisms underlying the persistent orofacial pain associated with trigeminal nerve injury. In this review, we address recent animal data regarding the involvement of various molecules in the communication of neuronal and non-neuronal cells and examine the possible involvement of ascending pathways in processing pathological orofacial pain. We also address the clinical observations of persistent orofacial pain associated with trigeminal nerve injury and clinical approaches to their diagnosis and treatment.

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Section: Diagnosis Of Orofacial Neuropathic Painmentioning

confidence: 99%

Orofacial Neuropathic Pain-Basic Research and Their Clinical Relevancies

Shinoda

Imamura

Hayashi

et al. 2021

Front. Mol. Neurosci.

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“…In a typical herpes zoster infection, only the maxillary area of eruption is very rare [2, 3]. This patient’s maxillary zoster is suspected to have been reactivated by direct surgical trauma to the maxillary branch of the trigeminal nerve.…”

Section: Discussion/conclusionmentioning

confidence: 99%

“…While any sensory ganglia may be involved, herpes zoster ophthalmicus is commonly used to describe viral reactivation from the trigeminal ganglia with ocular involvement [1]. Among the three divisions of the trigeminal nerve, herpes zoster along the maxillary division of the trigeminal nerve is a rare condition [2, 3]. Generally, the ophthalmic branch is the most commonly involved, whereas the maxillary and mandibular dermatomes are less commonly affected [3].…”

Section: Introductionmentioning

confidence: 99%

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Maxillary Zoster and Neurotrophic Keratitis following Trigeminal Block

Cho

Kwon

Pugazhendhi³

et al. 2019

Case Rep Ophthalmol

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Herpes zoster ophthalmicus is commonly used to describe viral reactivation from the trigeminal ganglia with ocular involvement. The ophthalmic branch is the most commonly involved, whereas the maxillary and mandibular dermatomes are less commonly affected. Neurotrophic ulcer may occur secondary to intentional or inadvertent damage to the trigeminal nucleus, root, ganglion, or any segment of the ophthalmic branch of this cranial nerve. We report a case of reactivated maxillary herpes zoster combined with neurotrophic keratitis due to percutaneous 2nd and 3rd branch of trigeminal nerve block with alcohol to treat trigeminal neuralgia. A 57-year-old female came to the ophthalmology department complaining of decreased visual acuity and skin vesicle over the right lower lid and cheek. She had undergone right trigeminal nerve block for treatment of trigeminal neuralgia. Clinical examination revealed neurotrophic keratitis and maxillary herpes zoster. She was treated with oral and topical antivirals and vigorous lubrication with eye drops. Her neurotrophic keratitis showed a slow recovery. Although a few cases of herpes zoster following nerve block have been described, it would appear that a case of simultaneous maxillary herpes zoster and neurotrophic keratitis following trigeminal block has not yet been documented. It is possible that trigeminal nerve block may cause reactivation of latent virus and refractory neurotrophic keratitis.

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“…Toothache, which the patient experienced at the beginning, could be an initial presentation of oral shingles in this case. Actually, previous cases referred to the potential of herpes zoster reactivation mimicking odontogenic pain 2 3. Delay in the appropriate treatment as a direct consequence of delayed diagnosis could be responsible for the development of postherpetic neuralgia as a sequela.…”

Section: Descriptionmentioning

confidence: 99%