Background & Aims

Introduction :
shingles or zoster disease is the clinical expression of the reactivation of the varicella-zoster virus of the herpesviridae family present in a latent state in the sensitive root ganglia. the decrease in specific cellular immunity is the main explanatory factor of viral reactivation. sporadic disease, characterized by a painful vesicular skin eruption localized to one or more dermatomes whose evolution is most often favorable among the complications described the most frequent and the most distressing whatever the immune status is pain (1)with two types encountered acute nociceptive pain linked to neuritis induced by the virus and the other chronic which persists several weeks after the illness. the pain center of the Batna University Hospital and University Center created in 1999 takes care of different types of pain and particularly when it is intractable, hence the purpose of this work on the management of intractable post-herpetic pain to any treatment (2)

Methods

material and methods :
This is a retrospective study over a period of 4 months from September to December 2023, involving 5 patients presenting with intense and persistent post-herpetic pain after well-conducted medical treatment and who benefited from block techniques. analgesics depending on the location of the disease the parameters studied are age, sex, location, immune status, severity of eruptive lesions, pain assessment, medical treatment followed, pain relief, patient satisfaction and evolution.

Results

results : the majority of patients were old, the sex ratio is 2/3, only one patient was aged 30 the immune status was mainly oriented towards diabetes and neoplasia but one patient had no history. All patients had extensive eruptive lesions, the location was varied, ophthalmic in one case, on the right lower limb in one case, and intercostal in 3 cases. pain is moderate to severe on the numerical scale the technique used is ophthalmic, crural and intercostal block the substances used are local anesthesic.
After the technique the numerical scale is less than 3 the patient is satisfied the number of sessions is spaced out, medical treatment is reduced until all medication is stopped completely.

Conclusions

conclusion : very common disease in Algeria, post-herpetic neuropathies are very painful diseases impacting the quality of life (3,4) in certain cases medical treatment remains insufficient, which leads our algologists to use xylocaine nerve blocks, the results of which clearly improve the lives of our patients. but we must understand that the prevention
is the best way to fight disease (5).

References

1.Hope-Simpson RE. Postherpetic neuralgia. J R Coll Gen Pract 1975;25:571-5.
2.Hempenstall K, Nurmikko TJ, Johnson RW, et al. Analgesic therapy in postherpetic neuralgia: a quantitative systematic review. PLoS Med 2005; 2:e164
3.Drolet M Brisson M schmader KA et al the impact of herpes zoster and postherpetic neuralgia on health related quality of life a prospective study CMAJ 2010 ; 182 : 1731 – 6
4.Oster G, Harding G, Dukes E, Edelsberg J, Cleary PD. Pain, medication use, and health-related quality of life in older persons with postherpetic neuralgia : Results from a population-based survey. J Pain 2005;6:356-63.
5.Gelb LD preventing herpes zoster through vaccination ophtalmology 2008 ; 115 : 535 – 8

Presenting Author

Grainat nadia

Poster Authors

Nadia Grainat

Docteur

PAIN LABORATORY OF BATNA 2 UNIVERSITY AND PAIN CENTER OF BATNA

Lead Author

E-mail

Nawal Boudouh

CHU Study, Evaluation and Pain Treatment Laboratory - University of Batna 2 - Algeria

Lead Author

E-mail

Lamia Djebara

CHU - University of Batna 2 - Algeria

Lead Author

E-mail

Narimane Merdaci

CHU Batna - Algeria

Lead Author

E-mail

Firdaws Mehdi

EHS Meriem Bouatoura Batna - Algeria

Lead Author

E-mail

atef Gadda

Tlemcen University

Lead Author

E-mail

Topics

  • Models: Chronic Pain - Neuropathic

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