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Cryoneurolysis of Intercostal Nerves for Postherpetic Neuralgia: A Case Report.
Cureus
September 2024
Medicine, University of Central Florida College of Medicine, Orlando, USA.
Cryoneurolysis is a procedure that has been shown to be efficacious in managing pain in various settings. Multiple studies have demonstrated the benefit of cryoneurolysis; however, the literature on managing postherpetic neuralgia with cryoneurolysis is scarce. The current treatment options available include transdermal lidocaine patches, capsaicin, non-steroidal anti-inflammatory drugs, nerve blocks, antidepressants, anticonvulsants, and opioids.
View Article and Find Full Text PDFAssessment of ultrasound-guided intercostal nerve block for acute herpes zoster and its' possible prophylaxis for postherpetic neuralgia: a retrospective and case-controlled trial.
Korean J Pain
October 2024
Department of Anesthesiology, Beijing Chuiyangliu Hosptial Affiliated to Tsinghua University, Beijing, China.
Article Synopsis
- - The study compared two treatment methods, intercostal nerve block (ICNB) and thoracic paravertebral block (TPVB), for managing pain from herpes zoster and preventing long-term pain (post-herpetic neuralgia) in 128 patients.
- - Results showed that both treatment methods significantly reduced the burden of illness compared to standard antiviral treatment alone, with no notable difference in effectiveness between TPVB and ICNB.
- - ICNB was quicker to perform than TPVB and both methods were effective, suggesting ICNB as a practical alternative for managing herpes zoster pain with fewer side effects.
Varicella‑zoster virus‑associated meningitis followed peripheral facial palsy: A case report.
Exp Ther Med
October 2024
Department of Neurology, Shengli Oilfield Central Hospital, Dongying, Shandong 257000, P.R. China.
Although central nervous system infection following varicella zoster virus infection is relatively common, subsequent peripheral nervous system infection is comparatively rare. The present case documents a case of meningitis after varicella-zoster virus (VZV) infection, which was then followed by peripheral facial palsy. Specifically, a 54-year-old female patient was first admitted to Shengli Oilfield Central Hospital (Dongying, China) with headache and fever.
View Article and Find Full Text PDFApplication of ultrasound-guided thoracic paravertebral block or intercostal nerve block for acute herpes zoster and prevention of post-herpetic neuralgia: A case-control retrospective trial.
Scand J Pain
January 2024
Department of Anesthesiology, Beijing Chuiyangliu Hosptial Affiliated to Tsinghua University, No. 2 Chuiyangliu Street, Chaoyang District, 100021, Beijing, China.
Objectives: Ultrasound (US)-guided intercostal nerve block (ICNB) is an easier approach with a very low incidence of complications for different surgeries; nevertheless, only a few studies estimate the effect of ICNB for acute HZ. To explore the US-guided ICNB for management of herpes zoster (HZ)-related acute pain and possible prophylaxis for post-herpetic neuralgia (PHN) taking the conventional thoracic paraverteral block (TPVB) as control.
Methods: A total of 128 patients with HZ were retrospectively stratified into antiviral treatment (AVT) plus US-guided TPVB (TPVB group), AVT plus US-guided ICNB (ICNB group) or AVT alone (control group) based on the treatment they received.
Is Serratus Posterior Superior Intercostal Plane Block a Novel Indication for the Management of Pain in Thoracic Acute Herpes Zoster? A Case Report.
Am J Phys Med Rehabil
September 2024
From the Sivas Zara State Hospital Anesthesiology and Reanimation, Sivas, Turkey (FB); and Cumhuriyet University School of Medicine Department of Anesthesiology and Reanimation, Sivas, Turkey (MNT, OG, OA).
Postherpetic neuralgia results from varicella-zoster virus reactivation post-chickenpox infection, manifesting as persistent and severe pain lasting a minimum of 3-mo post-herpes zoster onset. Traditional postherpetic neuralgia management comprises antiviral, analgesic medications, corticosteroids, and various agents. Ultrasound-guided nerve blocks have recently emerged as a promising postherpetic neuralgia treatment.
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