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- W4229065094 abstract "Abstract Background Zoster-associated pain treatment is considered to be difficult worldwide. Presently, the primary treatment methods include oral medications, nerve blocks, nerve radiofrequency (RF), electrical stimulation, etc. We report a peculiar course transition and corresponding treatment for a case of severe herpes zoster-Neuralgia in the Head and Face. Case Presentation A 59 year-old Chinese male presented with a severe and variable zoster-associated pain in the head and face. The chief complaint on admission was pain on the right side of his head and face after herpes zoster for 32 days. After pulse RF (PRF) and multiple supraorbital nerve blocks combined with oral analgesics were administered to the patient, the patient rated his resting pain as 4 on the numerical rating scale (NRS) and his paroxysmal pain as 9–10. Specifically, his pain shifted from the right side of his forehead to the right side of his nasal cavity to the right occipital region. Finally, a percutaneous micro balloon compression of the trigeminal ganglion and RF of the second trigeminal nerve, supraorbital nerve, and cervical nerve root were performed consecutively. All the pain was relieved significantly after surgery. Seven months later, there was no recurrence of pain and no oral drugs were taken. Conclusion On the premise of not damaging motor function, RF should be used decisively for patients suffering from zoster-associated pain, which is a serious condition and resistant to various treatments." @default.
- W4229065094 created "2022-05-08" @default.
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- W4229065094 date "2022-05-05" @default.
- W4229065094 modified "2023-09-24" @default.
- W4229065094 title "Peculiar Course Transition and Treatment of Patient with Severe Herpes Zoster-Neuralgia in the Head and Face: A Case Report" @default.
- W4229065094 doi "https://doi.org/10.21203/rs.3.rs-1608476/v1" @default.
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