Öz
Abstract
Reactivation of the latent virus at the dorsal nerve roots and ganglia in patients with chickenpox history may result in quite painful, itchy, and blistering rash on a limited area of the sensory nerve and this condition is called Herpes Zoster or Zona. Herpes Zoster may resolve spontaneously in one or two weeks or course of disease may also be serious in elderly and immunocompromised individuals. Although providing an effective treatment is not always possible, sympathetic nerve block, antiviral agents, analgesics, and opioid drugs might be used. We believe that, sympathetic nerve blocks, with their inhibitory effects on the formation of the post-herpetic neuralgia, are one of the effective treatment modalities especially in patients with insufficient improvement after medications. In this case report, we aimed to present the use of interscalene brachial plexus nerve block to treat a patient with Herpes Zoster in the shoulder area.
Key Words: Herpes Zoster; Bupivacaine; Brachial Plexus.
Anahtar Kelimeler
Kaynakça
- Makharita MY, Amr YM, El-Bayoumy Y. Effect of early stellate ganglion blockade for facial pain from acute herpes zoster and incidenceof postherpetic neuralgia. Pain Physician 2012:15;467-74.
- Opstelten W, Eekhof J, Neven AK, Verheij T. Treatment of herpes zoster. Can Fam Physician 2008:54;373-7.
- Stankus SJ, Dlugopolski M, Packer D. Management of herpes zoster (Shingles) and postherpetic Neuralgia. Am Fam Physician 2000:61;2437-44.
- Galluzzi KE. Management strategies for herpes zoster and postherpetic neuralgia. J Am Osteopath Assoc 2007:107;8-13.
- Wu CL, Marsh A, Dworkin RH. The role of sympathetic nerve blocks in herpes zoster and postherpetic neuralgia. Pain 2000:87;121-9.
- Colding A. Treatment of pain: organization of a pain clinic: Treatment of acute herpes zoster. Proc R Soc Med 1973:66;541-3.
- Riopelle JM, Naraghi M, Grush K. Chronic neuralgia incidence following local anesthetic therapy for herpes zoster. Arch Dermatol 1984:120;747-50.
- Yanagida H, Suwa K, Corssen G. No prophylactic effect of early sympathetic blockade on postherpetic neuralgia. Anesthesiology 1987:66;73-6.
- Manabe H, Dan K, Higa K. Continuous epidural infusion of local anesthetics and shorter duration of acute zoster-associated pain. Clin J Pain 1995:11;220-8.
- Tsai YC, Wang LK, Chen BS, Chen HP. Home-based patient-controlled epidural analgesia with bupivacaine for patients with intractable herpetic neuralgia. J Formos Med Assoc 2000:99;659-62.
- Whitley RJ, Volpi A, McKendrick M, Wijck AV, Oaklander AL. Management of herpes zoster and post-herpetic neuralgia now and in the future. J Clin Virol 2010:48;20–8.
- Kolšek M. TENS – an alternative to antiviral drugs for acute herpes zoster treatment and postherpetic neuralgia prevention. Swiss Med Wkly 2012:141;13229.
- Gomes RT, de Nazareth Pedras RB, da Silva JF, de Aguiar MC. Sympathetic nerve blocks in mandibular herpes zoster and postherpetic neuralgia. Headache 2007:47;728-3.
Öz
Daha önceden suçiçeği geçirmiş kişilerde arka sinir köklerinde ve ganglionlarda latent haldeki virüsün reaktivasyonu sonucu, ilgili sinirin duyusal alanıyla sınırlı, oldukça ağrılı ve kaşıntılı, vezikülo-büllöz döküntülü lezyonlarla karakterize tabloya Herpes Zoster veya Zona denilir. Herpes Zoster bir veya iki haftada kendiliğinden düzelebileceği gibi, özellikle yaşlılarda ve immün sistemi baskılanmış kişilerde ciddi seyredebilir. Herpes Zoster tedavisi kolay olmayıp her zaman etkin şekilde sağlanamamakla beraber, sempatik sinir bloğu, antiviral, analjezik ve opioid gibi ilaçlar kullanılabilmektedir. Özellikle ilaç tedavisinden yeterince fayda görmeyen hastalarda, meydana gelebilecek Postherpetik Nevralji oluşumunu önleyici etkileri de göz önüne alındığında sempatik sinir bloğu uygulaması etkin bir tedavi yöntemi olarak kullanılabileceği kanısındayız. Bu olgu sunusunda, omuz bölgesinde Herpes Zoster tutulumu olan hastanın interskalen blok ile tedavisini sunmayı amaçladık
Anahtar Kelimeler
Kaynakça
- Makharita MY, Amr YM, El-Bayoumy Y. Effect of early stellate ganglion blockade for facial pain from acute herpes zoster and incidenceof postherpetic neuralgia. Pain Physician 2012:15;467-74.
- Opstelten W, Eekhof J, Neven AK, Verheij T. Treatment of herpes zoster. Can Fam Physician 2008:54;373-7.
- Stankus SJ, Dlugopolski M, Packer D. Management of herpes zoster (Shingles) and postherpetic Neuralgia. Am Fam Physician 2000:61;2437-44.
- Galluzzi KE. Management strategies for herpes zoster and postherpetic neuralgia. J Am Osteopath Assoc 2007:107;8-13.
- Wu CL, Marsh A, Dworkin RH. The role of sympathetic nerve blocks in herpes zoster and postherpetic neuralgia. Pain 2000:87;121-9.
- Colding A. Treatment of pain: organization of a pain clinic: Treatment of acute herpes zoster. Proc R Soc Med 1973:66;541-3.
- Riopelle JM, Naraghi M, Grush K. Chronic neuralgia incidence following local anesthetic therapy for herpes zoster. Arch Dermatol 1984:120;747-50.
- Yanagida H, Suwa K, Corssen G. No prophylactic effect of early sympathetic blockade on postherpetic neuralgia. Anesthesiology 1987:66;73-6.
- Manabe H, Dan K, Higa K. Continuous epidural infusion of local anesthetics and shorter duration of acute zoster-associated pain. Clin J Pain 1995:11;220-8.
- Tsai YC, Wang LK, Chen BS, Chen HP. Home-based patient-controlled epidural analgesia with bupivacaine for patients with intractable herpetic neuralgia. J Formos Med Assoc 2000:99;659-62.
- Whitley RJ, Volpi A, McKendrick M, Wijck AV, Oaklander AL. Management of herpes zoster and post-herpetic neuralgia now and in the future. J Clin Virol 2010:48;20–8.
- Kolšek M. TENS – an alternative to antiviral drugs for acute herpes zoster treatment and postherpetic neuralgia prevention. Swiss Med Wkly 2012:141;13229.
- Gomes RT, de Nazareth Pedras RB, da Silva JF, de Aguiar MC. Sympathetic nerve blocks in mandibular herpes zoster and postherpetic neuralgia. Headache 2007:47;728-3.
Ayrıntılar
| Birincil Dil | ingilizce |
|---|---|
| Bölüm | Makaleler |
| Yazarlar | |
| Yayımlanma Tarihi | 9 Aralık 2015 |
| Yayımlandığı Sayı | Yıl 2015 Cilt: 22 Sayı: 2 |
