title: [Herpes zoster-induced neuralgia (neuropathy)].
abstract: Neuralgia (neuropathy) is the most common manifestation of herpes zoster (HZ). In spinal and cranial neuralgia, there are 3 types of pain: 1) spontaneous, persistent, burning pain; 2) intermittent sharp pain; 3) pain occurring with nonpainful stimulation. The skin exhibits areas of hypesthesia, anesthesia, and dysesthesia. Ophthalmic neuralgia (of the first branch of the trigeminal nerve) is encountered in 20% of HZ cases. HZ of the auricle and external auditory meatus concurrent with facial and vestibulocochlear neuropathy is diagnosed as Ramsay Hunt syndrome. Postherpetic neuralgia (neuropathy) is characterized by pain present for 3 months or more after the appearance of herpetic eruptions. Combined therapy involving the earlier use of antiviral agents, tricyclic antidepressants, analgesics, and neuromidine is the most effective option for HZ-induced neuralgia (neuropathy).
authors.forename: M Yu
authors.initials: MY
authors.lastname: Maksimova
authors.forename: N A
authors.initials: NA
authors.lastname: Sineva
authors.forename: N P
authors.initials: NP
authors.lastname: Vodopyanov
mesh_terms: D000700:Analgesics / Q000008:administration & dosage / Q000627:therapeutic use; D000929:Antidepressive Agents, Tricyclic / Q000008:administration & dosage / Q000627:therapeutic use; D000998:Antiviral Agents / Q000008:administration & dosage / Q000627:therapeutic use; D004359:Drug Therapy, Combination; D006562:Herpes Zoster / Q000150:complications* / Q000188:drug therapy; D016697:Herpes Zoster Oticus / Q000188:drug therapy / Q000503:physiopathology; D006801:Humans; D051474:Neuralgia, Postherpetic / Q000188:drug therapy / Q000503:physiopathology*; D013997:Time Factors; D014277:Trigeminal Neuralgia / Q000188:drug therapy / Q000209:etiology / Q000503:physiopathology*
chemical_list: D000700:Analgesics; D000929:Antidepressive Agents, Tricyclic; D000998:Antiviral Agents