Herpes Zoster Of The Trigeminal Nerve-Two Cases Reports.

Christos P Makos, G. Noussios, Marinos Peios, G. Balabanis, Christina Evangelinou
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引用次数: 3

Abstract

Background: The herpes zoster of the trigeminal nerve branches caused by Varicella Zoster Virus (VZV) is a clinical entity consisting of erythematous macules, papules, vesicles, bullae, small ulcers and erythematous plaques and characteristic short acute or pre-eruptive phases and long methherpetic periods with pain, burning or tingling in the involved dermatomes like in other peripheral nerves. The diagnosis of herpes zoster is primarily based upon history and clinical examination. The painful periods can induce misdiagnosis with dental signs like trigeminal neuralgia, odontalgia and acute pulpitis and the complications referred in the literature like tooth resorption, periapical lesions, periodontal destruction, osteomyelitis, jaw osteonecrosis and tooth exfoliation promote the dentist's role in diagnosis and management of this disease. Cases Reports:Two cases related to herpes zoster of the trigeminal nerve branches diagnosed at first stages as trigeminal neuralgia are presented in this report. Besides pathogenesis, clinical picture, jaw complications, diagnosis and therapeutic aspects are discussed.
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三叉神经带状疱疹2例报告。
背景:由水痘带状疱疹病毒(VZV)引起的三叉神经分支带状疱疹是一种临床症状,包括红斑斑、丘疹、水疱、大疱、小溃疡和红斑斑块,其特点是急性期或疹前期短,甲疹期长,与其他周围神经一样,受累皮节疼痛、灼烧或刺痛。带状疱疹的诊断主要基于病史和临床检查。疼痛期易误诊为三叉神经痛、牙痛、急性牙髓炎等牙病征象,文献中提到的牙齿吸收、根尖周病变、牙周破坏、骨髓炎、颌骨坏死、牙齿脱落等并发症促使牙医在本病的诊断和治疗中发挥重要作用。病例报告:两例有关带状疱疹的三叉神经分支诊断为三叉神经痛的第一阶段提出了这个报告。除发病机制外,还讨论了临床表现、颌骨并发症、诊断和治疗方面的问题。
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