Trigeminal herpes zoster: early recognition and treatment are crucial

Lovell, Ben

doi:10.1136/bcr-2014-208673

Cited by 15 publications

(6 citation statements)

References 8 publications

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“… 8 , 9 Besides PHN, various other complications such as scarring and disfigurement, encephalitis, and even permanent loss of vision can also occur. 10 Therefore, early diagnosis of lesions and the prompt use of antivirals can help manage the orofacial herpes zoster infection in dental practice.…”

Section: Discussionmentioning

confidence: 99%

Orofacial Herpes Zoster Infection in Dental practice: A Case Report

2020

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Herpes zoster infection, commonly known as Shingles, is caused by reactivation of the Varicella-Zoster virus which may have remained latent in the dorsal root ganglia. HZI is characterized by prodromal symptoms of unilateral deep aching, burning pain followed by a maculopapular rash, vesicular eruptions, ulcers, and scab formations over the affected nerve distribution. The ophthalmic branch of the trigeminal nerve is more commonly involved in HZI than maxillary and mandibular branches; in particular, the maxillary involvement is rare. This is a case report of HZI in a 65-years-old male patient involving the maxillary division of the trigeminal nerve. This case highlights the importance of early diagnosis and prompt use of antivirals in managing orofacial HZI in dental practice.

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Section: Discussionmentioning

confidence: 99%

Orofacial Herpes Zoster Infection in Dental practice: A Case Report

2020

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“…Trigeminal postherpetic neuralgia (TPHN) is a special condition of PHN that is caused by the invasion of VZV in the semilunar ganglion or its branches within the trigeminal nerve. Although it accounts for only 5% of cases of PHN, it remains notoriously resistant to treatment (4)(5)(6). Common treatment approaches for TPHN include medication, nerve blocks, destructive procedures, pulsed radiofrequency, and radiofrequency thermoablation (5,(7)(8)(9)(10).…”

Section: Introductionmentioning

confidence: 99%

“…Although it accounts for only 5% of cases of PHN, it remains notoriously resistant to treatment (4)(5)(6). Common treatment approaches for TPHN include medication, nerve blocks, destructive procedures, pulsed radiofrequency, and radiofrequency thermoablation (5,(7)(8)(9)(10). However, these methods have demonstrated limited effectiveness, particularly in patients with chronic disease.…”

Section: Introductionmentioning

confidence: 99%

Digital subtraction angiography-guided peripheral nerve stimulation via the foramen rotundum for refractory trigeminal postherpetic neuralgia: a case report and literature review

Xu,

Zhou,

Yang

2024

Front. Neurol.

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Postherpetic neuralgia (PHN) is a debilitating complication of varicella-zoster virus infection. This case report presents a novel approach to treating refractory trigeminal maxillary postherpetic neuralgia using digital subtraction angiography (DSA)-guided peripheral nerve stimulation via the foramen rotundum. A 72-year-old female with severe, treatment-resistant pain underwent this intervention. The results demonstrated the disappearance of tactile allodynia, a significant reduction in oral analgesic requirements, and no observed complications or side effects during a 3-year follow-up period. This case highlights the potential effectiveness of DSA-guided peripheral nerve stimulation using a new dorsal root ganglion (DRG) stimulator as an alternative therapy for refractory trigeminal postherpetic neuralgia (TPHN).

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“…Some of the reported medical complications following herpes zoster include post-herpetic pain, vasculopathy or vasculitis, neurological complications, meningitis/meningoencephalitis, cerebellitis, myelopathy and ocular complications including retinal necrosis (27,28). Those affected by such post-herpetic complications may suffer prolonged or life-long effects of herpes zoster (26,29,30).…”

Section: Introductionmentioning

confidence: 99%

Herpes Zoster and association with pulp necrosis and development of apical periodontitis – a review and presentation of two case reports

Heithersay

Chew

2021

Aust Endodontic J

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The varicella zoster virus as an aetiological agent for endodontic disease is not a well‐recognised entity despite several published case reports. While advances in DNA molecular analysis techniques (PCR) have contributed to the current understanding of the potential role of the varicella zoster virus in the initiation and progression of endodontic disease, a review indicates a need for ongoing research. Case reports are presented of two female patients with a history of herpes zoster who developed pulp necrosis, with one patient progressing to apical periodontitis. Both patients received non‐surgical endodontic therapy, followed by intra‐coronal bleaching in one of the patients due to tooth discolouration which developed during the prodromal and acute phases of the herpes zoster infection. Clinical and radiographic examinations at 23 and 22 years, respectively, showed the affected teeth to be retained in an asymptomatic and aesthetically satisfactory state with no radiographic evidence of apical pathosis.

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Trigeminal herpes zoster: early recognition and treatment are crucial

Cited by 15 publications

References 8 publications

Orofacial Herpes Zoster Infection in Dental practice: A Case Report

Orofacial Herpes Zoster Infection in Dental practice: A Case Report

Digital subtraction angiography-guided peripheral nerve stimulation via the foramen rotundum for refractory trigeminal postherpetic neuralgia: a case report and literature review

Herpes Zoster and association with pulp necrosis and development of apical periodontitis – a review and presentation of two case reports

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