Vertebrobasiler Ischemic Infarction Developed in a Patient with Postherpetic Neuralgia

Year 2008, Volume: 13 Issue: 1, 67 - 68, 01.02.2008

Selami Ateş Önal Esef Bolat Mithat Kahramanoğlu Fidan Sürgün Nuran Akmirza İnci

Abstract

Postherpetic neuralgia (PHN) is a chronic pain syndrome that develops in approximately 10% to 15% of patients with herpes zoster, with the precise figure depending on age. Some problems may be encountered during treatment due to the advanced age and accompanying disorders. In this paper, we purpose to present a patient with diagnosis of PHN who got unconscious during hospitalization, followed with prediagnosis of viral encephalitis and cerebrovascular accident, tought as vertebrobasiler ischemic infarction according to laboratory results and died from this reason. ©2008, Firat University, Medical Faculty.

Keywords

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Postherpetik Nevraljili Hastada Gelişen Vertebrobaziler İskemik Enfarktüs

Abstract

Postherpetik nevralji (PHN), herpes zoster enfeksiyonlu hastaların yaklaşık %10-15'inde gelişen ve kliniği yaşa bağlı olarak değişebilen bir kronik ağrı sendromudur. Hastaların yaşlı olması ve beraberinde yandaş hastalıkları olması ağrı kliniklerinde tedavi sırasında bazı sorunlar çıkarabilmektedir. Bu yazıda, PHN tanısıyla kliniğimize kabul edilen, yatışı sırasında bilinci kapanan, viral ensefalit ve serebrovasküler hastalık ön tanılarıyla takip edilen, laboratuvar sonuçlarına göre vertebrobaziler iskemik enfarktüs düşünülen ve bu nedenle kaybedilen olguyu sunmayı amaçladık.©2008, Fırat Üniversitesi, Tıp Fakültesi

Keywords

Postherpetik nevralji, vertebrobaziler iskemik enfarktüs, hipertansiyon, viral ensefalit

References

• 1. Çevik IU. Postherpetic neuralgia. Agri 2004; 16: 17-24.
• 2. Jung BF, Johnson RW, Griffin DR, Dworkin RH. Risk factors for postherpetic neuralgia in patients with herpes zoster. Neurology 2004; 62: 1545-1551.
• 3. Puchhammer-Stöckl E, Popow-Kraupp T, Heinz FX, Mandl CW, Kunz C. Detection of varicella-zoster virus DNA by polymerase chain reaction in the cerebrospinal fluid of patients suffering neurological complications associated with chicken pox or herpes zoster. J Clin Microbiol 1991; 29: 1513-1516.
• 4. Gilden DH, Bennett JL, Kleinschmidt-DeMasters BK ve ark. The value of cerebrospinal fluid antiviral antibody in the diagnosis of neurologic disease produced by varicella-zoster virus. J Neurol Sci 1998; 159: 140-144.
• 5. Bogousslavsky J, Van Melle G, Regli F. For the Lausanne Stroke Registry Group: The Lausanne Stroke Registry:analysis of 1000 consecutive patients with first stroke. Stroke 1988; 19: 1083-1092.
• 6. Martin PJ. Vertebrobasilar Ischemia. QJM 1998; 91: 799-811.
• 7. Donahue JG, Choo PW, Manson JE, Platt R. The incidence of herpes zoster. Arch Intern Med 1995; 155: 1605-1609.
• 8. Vander Straten M, Carrasco D, Lee P, Tyring SK. Reduction of postherpetic neuralgia in herpes zoster. J Cutaneous Med Surg 2001; 5: 409-416.
• 9. Johansson BB. Hypertension Mechanisms Causing Stroke. Clin Exp Pharmacol Physiol 1999; 26: 563-565.
• 10. Weinberger J, Frishman WH, Terashita D. Drug therapy of neurovascular disease. Cardiol Rev. 2003; 11: 122-146.