CANER FEYZİ DEMİR, Yahya AKALIN, Said BERİLGEN

Occipital neuralgia following thoracic herpes zoster

Oksipital nevralji büyük oksipital sinir ve küçük oksipital sinirin dermatomlarında paroksismal batıcı ve çakıcı tarzda şiddetli ağrı olarak tarif edilmiştir. Nevralji bu sinirlerin inflamasyonundan, hasarından veya irritasyonundan kaynaklanmaktadır. Bu yazıda torasik herpes lezyonunu takiben ortaya çıkan oksipital nevraljili bir hastayı sunuyoruz.

Torasik herpes zoster sonrası gelişen oksipital nevralji

Paroxysmal shooting or stabbing pain in the dermatomes of the nervus occipitalis major or nervus occipitalis minor is defined as occipital neuralgia. Initial cause of the neuralgia appears to be from inflammation, damage or irritation of these nerves. In this article we present a patient with occipital neuralgia followed by thoracic herpes lesion.

PDF

___

1. Gilden DH, Mahalingam R, Dueland A, Cohrs R. Herpes zos ter: pathogenesis and latency. Prog Med Virol 1992;39:19-75.
2. Tenser RB. Herpes zoster infection and postherpetic neural gia. Curr Neurol Neurosci Rep 2001;1(6):526-32.
3. Gilden DH, Wright RR, Schneck SA, Gwaltney JM Jr, Mahal ingam R. Zoster sine herpete, a clinical variant. Ann Neurol 1994;35(5):530-3.
4. Headache Classification Subcommittee of the International Headache Society. The International Classification of Head ache Disorders: 2nd edition. Cephalalgia 2004;24 Suppl 1:9-160.
5. Vanelderen P, Lataster A, Levy R, Mekhail N, van Kleef M, Van Zundert J. 8. Occipital neuralgia. Pain Pract 2010;10(2):137-44.
6. Kihara T, Shimohama S. Occipital neuralgia evoked by facial herpes zoster infection. Headache 2006;46(10):1590-1.
7. Riederer F, Sándor PS, Linnebank M, Ettlin DA. Familial oc cipital and nervus intermedius neuralgia in a Swiss family. J Headache Pain 2010;11(4):335-8.
8. Morita Y, Osaki Y, Doi Y, Forghani B, Gilden DH. Chronic ac tive VZV infection manifesting as zoster sine herpete, zoster paresis and myelopathy. J Neurol Sci 2003;212(1-2):7-9.
9. Lewis GW. Zoster sine herpete. BMJ 1958;16:418-421.