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Herpes Zoster-Mediated Radiculitis After Lumbar Spine Surgery: A Report on 2 Cases with Differing Outcomes
Francisco Xará-Leite1,2, Miguel Pinto Freitas1,3, Ricardo Rodrigues-Pinto1,2
1Spine Unit, Department of Orthopaedics, Centro Hospitalar Universitário do Porto, Porto, Portugal.
Cases:
Two cases of herpetic neuralgia after lumbar fusion are reported. Although in one case the diagnosis was evident and treatment promptly initiated, the second exhibited a less typical presentation of neuralgia predating the cutaneous rash leading to a misdiagnosis of persistent nerve root stenosis, with additional surgeries and a longer hospital stay.
Conclusion:
The cases presented highlight why postoperative neuralgia should be approached carefully and systematically investigated. Although rare, postoperative neuralgia may occur as a consequence of postoperative herpes zoster infection. Failure to promptly diagnose this condition may lead to unnecessary surgery that has associated risks and morbidity.
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