Trigeminal neuralgia associated with herpes zoster

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Abstract

Neuropathy of the ophthalmic nerve (the first branch of the trigeminal nerve, CN V: V1) is the most common manifestation of herpes zoster. Neuropathy of the ophthalmic nerve occurs in 20% of cases of herpes zoster. Three types of pain are differentiated in trigeminal neuralgia: chronic burning pain, paroxysmal pain, and pain resulting from nonpain stimulation. Cutaneous hypoesthesia, anesthesia, and dysesthesia develop. Postherpetic neuralgia is characterized by pain persisting 3 months and longer after herpetic eruption. Combination therapy including early administration of antiviral drugs and tricyclic antidepressants has been proved to be most effective.

About the authors

Мikhail A. Piradov

Research Center of Neurology; A.I. Evdokimov Moscow State University of Medicine and Dentistry

Email: ncnmaximova@mail.ru

D. Sci. (Med), Prof., Full Member of RAS, Director; Head, Division of diseases of the nervous system, Department of dentistry

Russian Federation, Moscow

Marina Yu. Maksimova

Research Center of Neurology; A.I. Evdokimov Moscow State University of Medicine and Dentistry

Author for correspondence.
Email: ncnmaximova@mail.ru
ORCID iD: 0000-0002-7682-6672

D. Sci. (Med), Prof., Head, 2nd Neurology department; professor, Division of diseases of the nervous system, Department of dentistry

Russian Federation, Moscow

Nina A. Sineva

A.I. Evdokimov Moscow State University of Medicine and Dentistry

Email: ncnmaximova@mail.ru
Russian Federation, Moscow

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Copyright (c) 2017 Piradov M.A., Maksimova M.Y., Sineva N.A.

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