The Korean Journal of Pain

The Korean Pain Society (대한통증학회)
권호 표지
DOI QR코드

DOI QR Code

Spinal Arteriovenous Malformation Masquerating Zoster Sine Herpete

  • Lee, Ji Young (Department of Anesthesiology and Pain Medicine, Ajou University Hospital) ;
  • Ok, Se Jin (Korea University Ansan Hospital) ;
  • Oh, Chang Keun (Department of Anesthesiology and Pain Medicine, Ajou University Hospital) ;
  • Park, Sun Kyung (Jeju National University Hospital) ;
  • Kim, Do Wan (Department of Anesthesiology and Pain Medicine, Ajou University Hospital) ;
  • Yang, Jong Yeun (Department of Anesthesiology and Pain Medicine, Ajou University Hospital)
  • Received : 2012.08.06
  • Accepted : 2012.11.08
  • Published : 2013.01.01
Download PDF
⟨ Previous Next ⟩

Abstract

Zoster sine herpete (ZSH) is difficult to diagnosis during an acute period due to the absence of the characteristic zosteriform dermatomal rash; therefore, progression to postherpetic neuralgia is more common than typical zoster. In addition, misdiagnosis of other neuropathic pain as ZSH is common in clinical situations. Here, we report a case of spinal arteriovenous malformation that mimics ZSH. This is a rare condition; therefore, high clinical suspicion for a correct diagnosis and proper examination are not easy. However, early diagnosis and definitive treatment are essential to prevent neurologic deficit and mortality.

Keywords

References

  1. Straus SE, Oxman MN, Schmader KE. Varicella and herpes zoster. In: Fitzpatrick's dermatology in general medicine. 7th ed. Edited by Wolff K, Goldsmith LA, Katz SI, Gilchrest BA, Paller AS, Leffell DJ. New York, McGraw-Hill. 2008, pp 1885-98.
  2. Furuta Y, Ohtani F, Mesuda Y, Fukuda S, Inuyama Y. Early diagnosis of zoster sine herpete and antiviral therapy for the treatment of facial palsy. Neurology 2000; 55: 708-10. https://doi.org/10.1212/WNL.55.5.708
  3. Rajbala T, Joel LK, Robert HD. Herpes zoster and postherpetic neuralgia. In: Bonica's management of pain. 4th ed. Edited by Fishman SM, Ballantyne JC, Rathmell JP. Philadelphia, Lippincott Williams & Wilkins. 2010, pp 338-57.
  4. Cohen PR. Tests for detecting herpes simplex virus and varicella-zoster virus infections. Dermatol Clin 1994; 12: 51-68.
  5. Murray B, Mitsumoto H. Disorders of upper and lower motor neurons. In: Bradley's neurology in clinical practice. 6th ed. Edited by Daroff RB, Fenichel GB, Jankovic J, Mazziotta JC. Philadelphia, Elsevier. 2012, pp 1855-86.
  6. Lewis SL. An approach to neurologic symptoms. In: Neurology for the non-neurologist. 5th ed. Edited by Weiner WJ, Goetz CG. Philadelphia, Lippincott Williams & Wilkins. 2004, pp 21-33.
  7. Fisher WS 3rd. Concomitant intracranial aneurysms and arteriovenous malformations. In: Neurosurgery. 2nd ed. Edited by Wilkins RH, Rengachary SS. New York, McGraw-Hill. 1996, pp 2429-31.
  8. Neifeld JP, Doppman JL, Chreitien PB. Congenital pelvic arteriovenous fistulas: report of a case and review of the literature. J Urol 1975; 114: 648-52. https://doi.org/10.1016/S0022-5347(17)67110-6
  9. Gennuso R, Zappulla RA, Strenger SW. A localized lumbar spinal root arteriovenous malformation presenting with radicular signs and symptoms. Spine (Phila Pa 1976) 1989; 14: 543-6. https://doi.org/10.1097/00007632-198905000-00016
  10. Elhammady MS, Wolfe SQ, Aziz-Sultan MA. Spinal arteriovenous malformations. In: Handbook of neuroendovascular surgery. 1st ed. Edited by Deshaies EM, Eddleman CS, Boulos AS. New York, Thieme Medical Publishers. 2012, pp 375-87.
  11. Geldmacher DS. Vascular diseases of the nervous system: spinal cord vascular disease. In: Bradley's neurology in clinical practice. 6th ed. Edited by Daroff RB, Fenichel GB, Jankovic J, Mazziotta JC. Philadelphia, Elsevier. 2012, pp 1095-102.
  12. Riina HA, Soni D, Stieg PE. Surgical treatment of spinal arteriovenous malformations. In: Textbook of neurological surgery: principles and practices. Edited by Batjer HH, Loftus CM. Philadelphia, Lippincott Williams & Wilkins. 2003, pp 2569-78.
  13. Heros RC, Debrun GM, Ojemann RG, Lasjaunias PL, Naessens PJ. Direct spinal arteriovenous fistula: a new type of spinal AVM. Case report. J Neurosurg 1986; 64: 134-9. https://doi.org/10.3171/jns.1986.64.1.0134
  14. Caroscio JT, Brannan T, Budabin M, Huang YP, Yahr MD. Subarachnoid hemorrhage secondary to spinal arteriovenous malformation and aneurysm. Report of a case and review of the literature. Arch Neurol 1980; 37: 101-3. https://doi.org/10.1001/archneur.1980.00500510059011
  15. Smith BS, Penka CF, Erickson LS, Matsuo F. Subarachnoid hemorrhage due to anterior spinal artery aneurysm. Neurosurgery 1986; 18: 217-9. https://doi.org/10.1227/00006123-198602000-00020