Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài:Facial herpes zoster infection precipitated by surgical manipulation of the trigeminal nerve during exploration of the posterior fossa: a case report | JOURNAL OF MEDICAL Sr CASE REPORTS Open Access Case report Facial herpes zoster infection precipitated by surgical manipulation of the trigeminal nerve during exploration of the posterior fossa a case report Nassir Mansour1 Chandrasekaran Kaliaperumal2 and Kishor A Choudhari1 Addresses department of Neurosurgery Regional Neurosciences Unit Royal Victoria Hospital Belfast BT12 6BA UK 2National Centre for Neurosurgery Beaumont Hospital Dublin-9 Republic of Ireland Email NM - nmanso1@ CK - ckaliaperumal@ KAC - kchoudhari@ Corresponding author Received 13 May 2008 Accepted 8 May 2009 Published 16 September 2009 Journal ofMedical Case Reports 2009 3 7813 doi 1752-1947-3-7813 This article is available from http jmedicalcasereports article view 7813 2009 Mansour et al. licensee Cases Network Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction We present a case of herpes zoster infection shingles precipitated by surgical manipulation of the trigeminal nerve root during an attempted microvascular decompression procedure. The pathogenesis of this phenomenon as well as the importance and role of prophylactic acyclovir in its management are discussed. Case presentation A 54-year-old Caucasian man with a classical long-standing left-sided V2 and V3 division primary trigeminal neuralgia refractory to medical management underwent posterior fossa exploration for microvascular decompression via a standard retromastoid craniectomy. The patient had immediate and complete relief from pain. Three days after the operation he developed severely painful vesicles with V2 and V3 dermatomal distribution. Rather than the classical paroxysmal lancinating type of trigeminal neuralgia the pain .
