The effectiveness of CT-guided cryoplasma technique on acute zoster-related trigeminal neuralgia: A case report

• Published in: Interdisciplinary neurosurgery : Advanced techniques and case management Vol. 34; p. 101805
• Main Authors: Gao, Zhao, Sun, Yanjun
• Format: Journal Article
• Language: English
• Published: Elsevier B.V 01.12.2023; Elsevier
• Subjects: Herpes zoster; Plasma; ROS/RNS; ROS/RNS; Plasma; Herpes zoster
• ISSN: 2214-7519; 2214-7519
• DOI: 10.1016/j.inat.2023.101805

•This is the first case report of CT-guided cryoplasma technique for acute trigeminal zoster.•This case illustrates that our method can quickly relieve trigeminal herpes zoster, reduce the incidence of postherpetic trigeminal neuralgia and ocular sequelae.•This method does not require cranial access, has a low risk of infection, bleeding, nerve damage and other risks, and the treatment period is short, and the improvement of symptoms can be seen clearly the second day after surgery. We describe the clinical and therapeutic course of a 63-year-old patient with a sudden onset of acute herpes zoster on the left side of head, face and eye. The patient was hospitalized for 5 days after the onset of persistent needling pain and severe swelling of the left eye and was treated with cryogenic radiofrequency plasma ablation to alleviate clinical symptoms. After the CT-guided minimally invasive surgical treatment, the pain was relieved obviously and the local skin herpes subsided quickly. This is the first case report of CT-guided cryo-plasma technique for acute trigeminal zoster. This case illustrates that the method invented by our center can quickly relieve trigeminal herpes zoster, reduce the incidence of postherpetic trigeminal neuralgia and ocular sequelae.