带状疱疹相关性神经根炎：2 例不同结局病例报告。
Herpes Zoster-Mediated Radiculitis After Lumbar Spine Surgery: A Report on 2 Cases with Differing Outcomes.
机构信息
Spine Unit, Department of Orthopaedics, Centro Hospitalar Universitário do Porto, Porto, Portugal.
Instituto de Ciências Biomédicas Abel Salazar (ICBAS), Porto, Portugal.
出版信息
JBJS Case Connect. 2020 Jul-Sep;10(3):e20.00298. doi: 10.2106/JBJS.CC.20.00298.
CASES
Two cases of herpetic neuralgia after lumbar fusion are reported. Although in one case the diagnosis was evident and treatment promptly initiated, the second exhibited a less typical presentation of neuralgia predating the cutaneous rash leading to a misdiagnosis of persistent nerve root stenosis, with additional surgeries and a longer hospital stay.
CONCLUSION
The cases presented highlight why postoperative neuralgia should be approached carefully and systematically investigated. Although rare, postoperative neuralgia may occur as a consequence of postoperative herpes zoster infection. Failure to promptly diagnose this condition may lead to unnecessary surgery that has associated risks and morbidity.
病例
报告了两例腰椎融合术后的疱疹性神经痛病例。尽管在一例中，诊断明显且及时开始治疗，但第二例表现出不典型的神经痛，先于皮疹出现，导致误诊为持续性神经根狭窄，进行了额外的手术和更长时间的住院治疗。
结论
所报告的病例强调了为什么术后神经痛需要仔细和系统地进行调查。虽然罕见，但术后神经痛可能是术后带状疱疹感染的结果。未能及时诊断这种情况可能导致不必要的手术，而这种手术有相关的风险和发病率。
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