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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MDPI AG
2022-05-01
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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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format | Article |
id | doaj.art-206b52f42dc34e089f718ac0422e1f31 |
institution | Directory Open Access Journal |
issn | 2035-8377 |
language | English |
last_indexed | 2024-03-09T22:51:02Z |
publishDate | 2022-05-01 |
publisher | MDPI AG |
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series | Neurology International |
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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