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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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
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author 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
author_facet 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
author_sort Mehkri, Yusuf
collection PubMed
description 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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spelling pubmed-88244912022-02-11 Management of Cavernous Sinus Thrombosis Following Herpes Zoster Ophthalmicus 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 Cureus Dermatology 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. Cureus 2022-01-08 /pmc/articles/PMC8824491/ /pubmed/35155004 http://dx.doi.org/10.7759/cureus.21036 Text en Copyright © 2022, Mehkri et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Dermatology
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
Management of Cavernous Sinus Thrombosis Following Herpes Zoster Ophthalmicus
title Management of Cavernous Sinus Thrombosis Following Herpes Zoster Ophthalmicus
title_full Management of Cavernous Sinus Thrombosis Following Herpes Zoster Ophthalmicus
title_fullStr Management of Cavernous Sinus Thrombosis Following Herpes Zoster Ophthalmicus
title_full_unstemmed Management of Cavernous Sinus Thrombosis Following Herpes Zoster Ophthalmicus
title_short Management of Cavernous Sinus Thrombosis Following Herpes Zoster Ophthalmicus
title_sort management of cavernous sinus thrombosis following herpes zoster ophthalmicus
topic Dermatology
url 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
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