眼部带状疱疹后海绵窦血栓形成的管理

Management of Cavernous Sinus Thrombosis Following Herpes Zoster Ophthalmicus.

作者信息

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

机构信息

Department of Neurosurgery, University of Florida College of Medicine, Gainesville, USA.

Department of Neurology, University of Florida College of Medicine, Gainesville, USA.

出版信息

Cureus. 2022 Jan 8;14(1):e21036. doi: 10.7759/cureus.21036. eCollection 2022 Jan.

DOI:10.7759/cureus.21036

PMID:35155004

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8824491/

Abstract

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.

摘要

眼部带状疱疹（HZO）是潜伏在三叉神经节眼支（V1）内的水痘-带状疱疹病毒（VZV）重新激活所致。常见并发症为带状疱疹后神经痛和血管病变。在此，我们报告一例罕见病例，一名47岁女性患有眼部带状疱疹并伴有无菌性海绵窦血栓形成（CST）。如本病例所做的那样，使用脑CT静脉造影（CTV）和磁共振静脉造影（MRV）对CST等罕见且致命的并发症进行早期筛查，对于在干预最有效的早期阶段进行检测至关重要。抗凝治疗迅速启动，患者症状在住院期间持续改善。