Management of Cavernous Sinus Thrombosis Following Herpes Zoster Ophthalmicus

Herpes zoster opthalmicus (HZO) is the reactivation of latent varicella zoster virus (VZV) within the ophthalmic branch of the trigeminal ganglion (V1). Common complications are postherpetic neuralgia and vasculopathy. Here, we report a rare case of a 47-year-old female presenting with HZO and asept...

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Detalles Bibliográficos
Autores principales: Mehkri, Yusuf, Valisno, Jeff A, Rivas, Lorena Figueredo, Hernandez, Jairo, Jain, Varun, Elfasi, Aisha, De Prey, Justin, Hu, Calvin, Tarhan, Bedirhan, Tuna, Ibrahim S, Shuhaiber, Hans H
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2022
Materias:
Dermatology
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8824491/
https://www.ncbi.nlm.nih.gov/pubmed/35155004
http://dx.doi.org/10.7759/cureus.21036
Descripción
Sumario:Herpes zoster opthalmicus (HZO) is the reactivation of latent varicella zoster virus (VZV) within the ophthalmic branch of the trigeminal ganglion (V1). Common complications are postherpetic neuralgia and vasculopathy. Here, we report a rare case of a 47-year-old female presenting with HZO and aseptic cavernous sinus thrombosis (CST). Early screening for rare and deadly complications such as CST using CT cerebral venography (CTV) and magnetic resonance venography (MRV), as was done, is crucial to detection at earlier stages when intervention is most effective. Anticoagulation therapy was promptly started, and the patient’s symptoms continued to improve during the hospital stay.

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