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Postherpetic neuralgia (PHN) is neuropathic pain that occurs due to damage to a peripheral nerve caused by the reactivation of the varicella zoster virus (herpes zoster, also known as shingles). PHN is defined as pain in a dermatomal distribution that lasts for at least 90 days after an outbreak of herpes zoster. [1]
If the nerve cells affected lie within the facial nerves, it causes the symptoms described above. [3] Ramsay Hunt syndrome type 2 is estimated to account for 12% of all facial nerve paralysis. [4] It occurs in both immunocompetent and immunocompromised individuals with immunocompromised patients often having more severe disease presentation.
Postherpetic neuralgia can sometimes occur due to nerve damage (5). The causative agent for shingles is the varicella zoster virus (VZV)—a double-stranded DNA virus related to the herpes simplex virus. Most individuals are infected with this virus as children which causes an episode of chickenpox.
It could lead to post-herpetic neuropathy, or PHN. This is a type of nerve damage accompanied by burning that lasts for years after you recover from shingles. A few risk factors for developing PHN ...
1 in 3 Canadians will experience shingles at some point in their lifetime. Shingles signs and symptoms you need to know: How to tell if you have shingles Skip to main content
[2] [3] A triad of ipsilateral facial paralysis, ear pain, and vesicles on the face, on the ear, or in the ear is the typical presentation. Ramsay Hunt syndrome type 3 is a less commonly referenced condition, an occupationally induced neuropathy of the deep palmar branch of the ulnar nerve. It is also called Hunt's disease or artisan's palsy. [4]
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