Takizawa Keita, Yan Zhimin, Nakata Jumi, Young Andrew, Khan Junad, Kalladka Mythili, Noma Noboru
Department of Oral Medicine, Nihon University School of Dentistry, Tokyo 101-8310, Japan.
Department of Oral Medicine, Peking University School and Hospital of Stomatology, Beijing 100871, China.
Neurol Int. 2022 May 18;14(2):437-440. doi: 10.3390/neurolint14020036.
The pain of occipital neuralgia (ON) is thought to be secondary to trauma or injury to the occipital nerve at any point along the course of the nerve. ON may also be caused by an infectious process (herpes zoster) or compression of the nerve. The patient, in this case, presented to our clinic with complaints of occipital pain and rash and swelling of the right lower jaw. One week before presenting to our clinic, the patient developed severe pain in the first division of the trigeminal region with erythema and vesicles. A blood test showed a remarkably high antibody titer for varicella-zoster virus (VZV). The patient was prescribed oral valacyclovir (Valtrex) (3000 mg/day), which resulted in the complete remission of the rash and blisters in the occipital region. This highlights the importance of considering neuroanatomy of the trigeminal region and cervical nerve.
枕神经痛（ON）的疼痛被认为是继发于枕神经在其走行过程中任何部位的创伤或损伤。枕神经痛也可能由感染过程（带状疱疹）或神经受压引起。在这种情况下，患者因枕部疼痛以及右下颚皮疹和肿胀前来我们诊所就诊。在前来我们诊所就诊前一周，患者三叉神经区域第一支出现剧痛，并伴有红斑和水疱。血液检测显示水痘 - 带状疱疹病毒（VZV）抗体滴度显著升高。患者被开了口服伐昔洛韦（万乃洛韦）（3000毫克/天），这使得枕部区域的皮疹和水疱完全消退。这突出了考虑三叉神经区域和颈神经神经解剖学的重要性。
