Furtado Pessoa de Mendonca Laura, Hallo-Carrasco Alejandro, Prusinski Christian C, Hunt Christine
Department of Pain Medicine, Mayo Clinic, Jacksonville, USA.
Cureus. 2023 Jul 17;15(7):e42018. doi: 10.7759/cureus.42018. eCollection 2023 Jul.
Pain is a common symptom associated with shingles and may precede the onset of the characteristic rash. In the context of herpes zoster ophthalmicus, pain can manifest with severe headaches, posing challenges due to other potentially life-threatening conditions such as stroke and intracranial hypertension. In this report, we present the case of a 51-year-old male with severe headache and imaging findings of dural sinus thrombosis. He was later diagnosed with herpes zoster ophthalmicus and required aggressive inpatient management of neuropathic pain. Despite appropriate treatment, acute herpes zoster can progress to post-herpetic neuralgia, requiring long-term pain management.
疼痛是带状疱疹的常见症状，可能先于特征性皮疹出现。在眼带状疱疹的情况下，疼痛可表现为严重头痛，由于存在中风和颅内高压等其他潜在危及生命的情况，这带来了挑战。在本报告中，我们介绍了一名51岁男性的病例，他患有严重头痛且有硬脑膜窦血栓形成的影像学表现。他后来被诊断为眼带状疱疹，需要对神经性疼痛进行积极的住院治疗。尽管进行了适当治疗，急性带状疱疹仍可能进展为带状疱疹后神经痛，需要长期的疼痛管理。
