By Disease Name > Herpes Zoster

Herpes Zoster

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•10-15% of cases involve ophthalmic division of trigeminal nerve (V1)
•when only the supratrochlear and supraorbital branches are involved, the eye is usually spared
•when zoster involves the tip and the side of the nose (i.e. nasociliary branch of V1) careful attention must be given to the condition of the eye

 

hmtoggle_plus1Ramsay-Hunt syndrome:

 

•results from involvement of the facial and auditory nerves both the motor and sensory fibers by VZV (herpes zoster)
•herpetic inflammation of the geniculate ganglion is felt to be the cause
•results in facial nerve palsy and involvement of the external ear or tympanic membrane (tinnitus, vertigo, deafness)

 

 

fun facts:

cranial nerve VII (facial) – taste anterior 2/3 tongue (glossopharyngeal = posterior 1/3rd)

cranial nerve V – general sensation of anterior 2/3 tongue (via lingual nerve)

 

 

TREATMENT:

•symptom relief - ibuprofen 800mg PO TID (and Prilosec OTC), lidex cream BID
•valtrex 1g PO TID X 7 days