Trigeminal Herpes Zoster Transited to Ipsilateral Occipital Neuralgia

The pain of occipital neuralgia (ON) is thought to be secondary to trauma or injury to the occipital nerve at any point along the course of the nerve. ON may also be caused by an infectious process (herpes zoster) or compression of the nerve. The patient, in this case, presented to our clinic with c...

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Main Authors: Keita Takizawa, Zhimin Yan, Jumi Nakata, Andrew Young, Junad Khan, Mythili Kalladka, Noboru Noma
Format: Article
Language:English
Published: MDPI AG 2022-05-01
Series:Neurology International
Subjects:
Online Access:https://www.mdpi.com/2035-8377/14/2/36
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author Keita Takizawa
Zhimin Yan
Jumi Nakata
Andrew Young
Junad Khan
Mythili Kalladka
Noboru Noma
author_facet Keita Takizawa
Zhimin Yan
Jumi Nakata
Andrew Young
Junad Khan
Mythili Kalladka
Noboru Noma
author_sort Keita Takizawa
collection DOAJ
description The pain of occipital neuralgia (ON) is thought to be secondary to trauma or injury to the occipital nerve at any point along the course of the nerve. ON may also be caused by an infectious process (herpes zoster) or compression of the nerve. The patient, in this case, presented to our clinic with complaints of occipital pain and rash and swelling of the right lower jaw. One week before presenting to our clinic, the patient developed severe pain in the first division of the trigeminal region with erythema and vesicles. A blood test showed a remarkably high antibody titer for varicella–zoster virus (VZV). The patient was prescribed oral valacyclovir (Valtrex<sup>®</sup>) (3000 mg/day), which resulted in the complete remission of the rash and blisters in the occipital region. This highlights the importance of considering neuroanatomy of the trigeminal region and cervical nerve.
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spelling doaj.art-206b52f42dc34e089f718ac0422e1f312023-11-23T18:18:42ZengMDPI AGNeurology International2035-83772022-05-0114243744010.3390/neurolint14020036Trigeminal Herpes Zoster Transited to Ipsilateral Occipital NeuralgiaKeita Takizawa0Zhimin Yan1Jumi Nakata2Andrew Young3Junad Khan4Mythili Kalladka5Noboru Noma6Department of Oral Medicine, Nihon University School of Dentistry, Tokyo 101-8310, JapanDepartment of Oral Medicine, Peking University School and Hospital of Stomatology, Beijing 100871, ChinaDivision of International Medicine, Towa Hospital, Tokyo 120-0003, JapanDepartment of Diagnostic Sciences, Arthur Dugoni School of Dentistry, University of the Pacific, San Francisco, CA 94103, USAEastman Institute for Oral Health, University of Rochester Medical Center, 625 Elmwood Ave, Rochester, NY 14620, USAEastman Institute for Oral Health, University of Rochester Medical Center, 625 Elmwood Ave, Rochester, NY 14620, USADepartment of Oral Medicine, Nihon University School of Dentistry, Tokyo 101-8310, JapanThe pain of occipital neuralgia (ON) is thought to be secondary to trauma or injury to the occipital nerve at any point along the course of the nerve. ON may also be caused by an infectious process (herpes zoster) or compression of the nerve. The patient, in this case, presented to our clinic with complaints of occipital pain and rash and swelling of the right lower jaw. One week before presenting to our clinic, the patient developed severe pain in the first division of the trigeminal region with erythema and vesicles. A blood test showed a remarkably high antibody titer for varicella–zoster virus (VZV). The patient was prescribed oral valacyclovir (Valtrex<sup>®</sup>) (3000 mg/day), which resulted in the complete remission of the rash and blisters in the occipital region. This highlights the importance of considering neuroanatomy of the trigeminal region and cervical nerve.https://www.mdpi.com/2035-8377/14/2/36occipital neuralgiaherpes zostervaricella–zoster virus
spellingShingle Keita Takizawa
Zhimin Yan
Jumi Nakata
Andrew Young
Junad Khan
Mythili Kalladka
Noboru Noma
Trigeminal Herpes Zoster Transited to Ipsilateral Occipital Neuralgia
Neurology International
occipital neuralgia
herpes zoster
varicella–zoster virus
title Trigeminal Herpes Zoster Transited to Ipsilateral Occipital Neuralgia
title_full Trigeminal Herpes Zoster Transited to Ipsilateral Occipital Neuralgia
title_fullStr Trigeminal Herpes Zoster Transited to Ipsilateral Occipital Neuralgia
title_full_unstemmed Trigeminal Herpes Zoster Transited to Ipsilateral Occipital Neuralgia
title_short Trigeminal Herpes Zoster Transited to Ipsilateral Occipital Neuralgia
title_sort trigeminal herpes zoster transited to ipsilateral occipital neuralgia
topic occipital neuralgia
herpes zoster
varicella–zoster virus
url https://www.mdpi.com/2035-8377/14/2/36
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AT zhiminyan trigeminalherpeszostertransitedtoipsilateraloccipitalneuralgia
AT juminakata trigeminalherpeszostertransitedtoipsilateraloccipitalneuralgia
AT andrewyoung trigeminalherpeszostertransitedtoipsilateraloccipitalneuralgia
AT junadkhan trigeminalherpeszostertransitedtoipsilateraloccipitalneuralgia
AT mythilikalladka trigeminalherpeszostertransitedtoipsilateraloccipitalneuralgia
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