• Corpus ID: 13319235

Effect of early stellate ganglion blockade for facial pain from acute herpes zoster and incidence of postherpetic neuralgia.

@article{Makharita2012EffectOE,
  title={Effect of early stellate ganglion blockade for facial pain from acute herpes zoster and incidence of postherpetic neuralgia.},
  author={Mohamed Younis Makharita and Yasser Mohamed Amr and Youssef El-Bayoumy},
  journal={Pain physician},
  year={2012},
  volume={15 6},
  pages={
          467-74
        }
}
BACKGROUND The incidence of postherpetic neuralgia (PHN) has been reported to be 25% among those over the age of 50 years treated with antiviral medication. The role of sympathetic block in its prevention remains questionable. OBJECTIVES The aim of this study is to determine whether early stellate ganglion blockade for acute herpes zoster of the face will reduce the intensity and duration of acute herpetic pain, and if the blockade has the potential to prevent or reduce the incidence and/or… 

Figures and Tables from this paper

Effect of Repeated Paravertebral Injections with Local Anesthetics and Steroids on Prevention of Post-herpetic Neuralgia.
TLDR
Repeated paravertebral blocks using local anesthetic and steroids weekly over 2 or 3 weeks in the management of acute thoracic herpes zoster can provide safe and effective pain relief and minimize the incidence of PHN.
Effects of applying nerve blocks to prevent postherpetic neuralgia in patients with acute herpes zoster: a systematic review and meta-analysis
TLDR
Applying nerve blocks during the acute phase of the herpes zoster shortens the duration of zoster-related pain, and somatic blocks (including paravertebral and repeated/continuous epidural blocks) are recommended to prevent PHN.
Do Interventional Pain Management Procedures during the Acute Phase of Herpes Zoster Prevent Postherpetic Neuralgia in the Elderly?: A Meta-Analysis of Randomized Controlled Trials
TLDR
This study evaluated the evidences about the efficacy of IPs during the acute phase of HZ (within 14 days after the onset of the rash) on the prevention of PHN in elderly patients, through a systematic review with a meta-analysis of randomized controlled trials (RCTs).
The efficacy of selective nerve root block for the long-term outcome of postherpetic neuralgia
TLDR
An early SNRB during the acute stage of HZ (within 14 days) appears to decrease the incidence and shorten the duration of PHN, with a median of 5.0 years of follow-up.
Sympathetic nerve blocks for the management of postherpetic neuralgia - 19 years of Pain Clinic experience.
TLDR
Major progress in the pharmacological treatment of PHN appears to be an obvious factor contributing to the overall improvement in PHN management (introduction of gabapentin).
The effectiveness of repetitive paravertebral block with ropivacaine and dexmedetomidine for the prevention of postherpetic neuralgia in patients with acute herpes zoster
TLDR
Repetitive paravertebral block with local anaesthetics and dexmedetomidine in patients with acute herpes zoster can significantly reduce the incidence of zoster-related pain.
Role of ultrasound guided erector spinae plane block in management of acute herpes zoster pain and incidence of post-herpetic neuralgia
TLDR
ESB in conjunction with medical treatment can be beneficial in decreasing pain intensity in patients with acute thoracic herpes zoster more rapidly than conventional medical treatment.
Interventional Treatments for Postherpetic Neuralgia: A Systematic Review.
TLDR
This review focuses on interventional therapies that have been subjected to randomized controlled trials for the treatment of postherpetic neuralgia, including transcutaneous electrical nerve stimulation; local botulinum toxin A, cobalamin, and triamcinolone injection; intrathecal methylprednisolone and midazolam injection; stellate ganglion block; dorsal root ganglions destruction; and pulsed radiofrequency therapy.
Sympathetic nerve blocks for the management of postherpetic neuralgia - 19 years of pain clinic experience.
TLDR
Major progress in the pharmacological treatment of PHN appears to be an obvious factor contributing to the overall improvement inPHN management (introduction of gabapentin).
Interscalen Block Application in Patients with Herpes Zoster
TLDR
S sympathetic nerve blocks, with their inhibitory effects on the formation of the post-herpetic neuralgia, are one of the effective treatment modalities especially in patients with insufficient improvement after medications, according to this case report.
...
1
2
3
4
5
...

References

SHOWING 1-10 OF 32 REFERENCES
The effects of epidural blockade on the acute pain in herpes zoster.
TLDR
The authors believe that an epidural blockade combined with an antiviral agent is a very effective treatment modality for the pain of acute herpes zoster, and recommend its use for the prevention of postherpetic neuralgia, with a view to shortening the total duration of pain, especially late residual pain.
The Effectiveness of Repetitive Paravertebral Injections with Local Anesthetics and Steroids for the Prevention of Postherpetic Neuralgia in Patients with Acute Herpes Zoster
TLDR
Repetitive paravertebral anesthetic block in combination with steroids plus standard treatment with acyclovir and analgesics significantly reduced the incidence of PHN than the standard treatment alone.
The effect of treating herpes zoster with oral acyclovir in preventing postherpetic neuralgia. A meta-analysis.
TLDR
Treatment of herpes zoster with 800 mg/d of oral acyclovir within 72 hours of rash onset may reduce the incidence of residual pain at 6 months by 46% in immunocompetent adults.
Relationship Between Time of Treatment of Acute Herpes Zoster With Sympathetic Blockade and Prevention of Post-Herpetic Neuralgia: Clinical Support for a New Theory of the Mechanism by Which Sympathetic Blockade Provides Therapeutic Benefit
TLDR
Sympathetic blockade applied within the first 2 months after the onset of acute herpes zoster terminated the acute phase of the disease, probably by restoring intraneural blood flow, thus preventing the death of the large fibers and avoiding the development of post-herpetic neuralgia.
Treatment of Herpes Zoster with Sympathetic Blocks
TLDR
While the exact mechanism of action of the sympathetic blockade in relieving zoster pain is not understood, the immediate relief afforded by sympathetic blocks is, however, gratifying and favors its use when available.
Chronic neuralgia incidence following local anesthetic therapy for herpes zoster.
TLDR
Although local anesthetic injections effectively relieved the acute pain of active herpes zoster, they did not prevent the development of chronic postherpetic neuralgia.
Oral acyclovir therapy accelerates pain resolution in patients with herpes zoster: a meta-analysis of placebo-controlled trials.
TLDR
Acyclovir was clearly shown to accelerate pain resolution by all of the measures employed, and benefit was especially evident in patients 50 years of age or older.
...
1
2
3
4
...