Retrogasserian Glycerol Rhizotomy (RGGR) for Trigeminal Neuralgia Induced by Postvaccination Herpetic Reactivation: A Rare Case Report
ABSTRACT Reports on surgical treatment for postherpetic trigeminal neuralgia after COVID vaccination have not been found in the literature. Here, we described a case of postherpetic trigeminal neuralgia after COVID vaccination that was treated with percutaneous retrogasserian glycerol rhizotomy (PRG...
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| Published in | Clinical case reports Vol. 13; no. 9; pp. e70814 - n/a |
|---|---|
| Main Authors | , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
England
John Wiley & Sons, Inc
01.09.2025
John Wiley and Sons Inc Wiley |
| Subjects | |
| Online Access | Get full text |
| ISSN | 2050-0904 2050-0904 |
| DOI | 10.1002/ccr3.70814 |
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| Abstract | ABSTRACT
Reports on surgical treatment for postherpetic trigeminal neuralgia after COVID vaccination have not been found in the literature. Here, we described a case of postherpetic trigeminal neuralgia after COVID vaccination that was treated with percutaneous retrogasserian glycerol rhizotomy (PRGR) resulting in complete pain relief. We reported a case involving a 70‐year‐old female who had herpes zoster infection in the ophthalmic branch (V1) dermatome following COVID vaccination and presented with paroxysmal electric shock‐like sensation without a trigger. Her pain was refractory to medical management. Her Barrow Neurological Institute pain intensity score was IV. Magnetic resonance imaging of the brain was normal. PRGR was performed. The patient's pain decreased over the next 2 h, and she was pain‐free from post‐procedure Day 2 while taking carbamazepine 400 mg/day, which was tapered over 2 weeks. At her 3‐month follow‐up, the patient was reviewed and remained pain‐free. Percutaneous treatment of postherpetic trigeminal neuralgia may be considered the treatment of choice in vaccination‐induced postherpetic trigeminal neuralgia. |
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| AbstractList | ABSTRACT Reports on surgical treatment for postherpetic trigeminal neuralgia after COVID vaccination have not been found in the literature. Here, we described a case of postherpetic trigeminal neuralgia after COVID vaccination that was treated with percutaneous retrogasserian glycerol rhizotomy (PRGR) resulting in complete pain relief. We reported a case involving a 70‐year‐old female who had herpes zoster infection in the ophthalmic branch (V1) dermatome following COVID vaccination and presented with paroxysmal electric shock‐like sensation without a trigger. Her pain was refractory to medical management. Her Barrow Neurological Institute pain intensity score was IV. Magnetic resonance imaging of the brain was normal. PRGR was performed. The patient's pain decreased over the next 2 h, and she was pain‐free from post‐procedure Day 2 while taking carbamazepine 400 mg/day, which was tapered over 2 weeks. At her 3‐month follow‐up, the patient was reviewed and remained pain‐free. Percutaneous treatment of postherpetic trigeminal neuralgia may be considered the treatment of choice in vaccination‐induced postherpetic trigeminal neuralgia. Reports on surgical treatment for postherpetic trigeminal neuralgia after COVID vaccination have not been found in the literature. Here, we described a case of postherpetic trigeminal neuralgia after COVID vaccination that was treated with percutaneous retrogasserian glycerol rhizotomy (PRGR) resulting in complete pain relief. We reported a case involving a 70-year-old female who had herpes zoster infection in the ophthalmic branch (V1) dermatome following COVID vaccination and presented with paroxysmal electric shock-like sensation without a trigger. Her pain was refractory to medical management. Her Barrow Neurological Institute pain intensity score was IV. Magnetic resonance imaging of the brain was normal. PRGR was performed. The patient's pain decreased over the next 2 h, and she was pain-free from post-procedure Day 2 while taking carbamazepine 400 mg/day, which was tapered over 2 weeks. At her 3-month follow-up, the patient was reviewed and remained pain-free. Percutaneous treatment of postherpetic trigeminal neuralgia may be considered the treatment of choice in vaccination-induced postherpetic trigeminal neuralgia.Reports on surgical treatment for postherpetic trigeminal neuralgia after COVID vaccination have not been found in the literature. Here, we described a case of postherpetic trigeminal neuralgia after COVID vaccination that was treated with percutaneous retrogasserian glycerol rhizotomy (PRGR) resulting in complete pain relief. We reported a case involving a 70-year-old female who had herpes zoster infection in the ophthalmic branch (V1) dermatome following COVID vaccination and presented with paroxysmal electric shock-like sensation without a trigger. Her pain was refractory to medical management. Her Barrow Neurological Institute pain intensity score was IV. Magnetic resonance imaging of the brain was normal. PRGR was performed. The patient's pain decreased over the next 2 h, and she was pain-free from post-procedure Day 2 while taking carbamazepine 400 mg/day, which was tapered over 2 weeks. At her 3-month follow-up, the patient was reviewed and remained pain-free. Percutaneous treatment of postherpetic trigeminal neuralgia may be considered the treatment of choice in vaccination-induced postherpetic trigeminal neuralgia. ABSTRACT Reports on surgical treatment for postherpetic trigeminal neuralgia after COVID vaccination have not been found in the literature. Here, we described a case of postherpetic trigeminal neuralgia after COVID vaccination that was treated with percutaneous retrogasserian glycerol rhizotomy (PRGR) resulting in complete pain relief. We reported a case involving a 70‐year‐old female who had herpes zoster infection in the ophthalmic branch (V1) dermatome following COVID vaccination and presented with paroxysmal electric shock‐like sensation without a trigger. Her pain was refractory to medical management. Her Barrow Neurological Institute pain intensity score was IV. Magnetic resonance imaging of the brain was normal. PRGR was performed. The patient's pain decreased over the next 2 h, and she was pain‐free from post‐procedure Day 2 while taking carbamazepine 400 mg/day, which was tapered over 2 weeks. At her 3‐month follow‐up, the patient was reviewed and remained pain‐free. Percutaneous treatment of postherpetic trigeminal neuralgia may be considered the treatment of choice in vaccination‐induced postherpetic trigeminal neuralgia. Reports on surgical treatment for postherpetic trigeminal neuralgia after COVID vaccination have not been found in the literature. Here, we described a case of postherpetic trigeminal neuralgia after COVID vaccination that was treated with percutaneous retrogasserian glycerol rhizotomy (PRGR) resulting in complete pain relief. We reported a case involving a 70-year-old female who had herpes zoster infection in the ophthalmic branch (V1) dermatome following COVID vaccination and presented with paroxysmal electric shock-like sensation without a trigger. Her pain was refractory to medical management. Her Barrow Neurological Institute pain intensity score was IV. Magnetic resonance imaging of the brain was normal. PRGR was performed. The patient's pain decreased over the next 2 h, and she was pain-free from post-procedure Day 2 while taking carbamazepine 400 mg/day, which was tapered over 2 weeks. At her 3-month follow-up, the patient was reviewed and remained pain-free. Percutaneous treatment of postherpetic trigeminal neuralgia may be considered the treatment of choice in vaccination-induced postherpetic trigeminal neuralgia. |
| Author | Panchabakesan, M. Chaurasia, Bipin Kodeeswaran, M. Suresh Kumar, B. C. Narinder, Arun Naveen Kumar, M. Priyadharshan, K. P. |
| AuthorAffiliation | 4 Department of Neurosurgery College of Medical Sciences Bharatpur Nepal 1 Neurosurgery Academy and Research Foundation, Department of Neurosurgery Government Kilpauk Medical College and Hospital Chennai Tamil Nadu India 2 Department of Neurosurgery Government Kilpauk Medical College and Hospital Chennai Tamil Nadu India 3 Apollo First Med Chennai Tamil Nadu India |
| AuthorAffiliation_xml | – name: 1 Neurosurgery Academy and Research Foundation, Department of Neurosurgery Government Kilpauk Medical College and Hospital Chennai Tamil Nadu India – name: 2 Department of Neurosurgery Government Kilpauk Medical College and Hospital Chennai Tamil Nadu India – name: 3 Apollo First Med Chennai Tamil Nadu India – name: 4 Department of Neurosurgery College of Medical Sciences Bharatpur Nepal |
| Author_xml | – sequence: 1 givenname: M. surname: Kodeeswaran fullname: Kodeeswaran, M. organization: Government Kilpauk Medical College and Hospital – sequence: 2 givenname: M. surname: Naveen Kumar fullname: Naveen Kumar, M. organization: Government Kilpauk Medical College and Hospital – sequence: 3 givenname: K. P. surname: Priyadharshan fullname: Priyadharshan, K. P. organization: Government Kilpauk Medical College and Hospital – sequence: 4 givenname: Arun surname: Narinder fullname: Narinder, Arun organization: Government Kilpauk Medical College and Hospital – sequence: 5 givenname: M. surname: Panchabakesan fullname: Panchabakesan, M. organization: Government Kilpauk Medical College and Hospital – sequence: 6 givenname: B. C. surname: Suresh Kumar fullname: Suresh Kumar, B. C. organization: Apollo First Med – sequence: 7 givenname: Bipin orcidid: 0000-0002-8392-2072 surname: Chaurasia fullname: Chaurasia, Bipin email: trozexa@gmail.com organization: College of Medical Sciences |
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| Cites_doi | 10.1016/j.jocn.2008.09.011 10.1097/SCS.0000000000001893 10.1016/0304-3959(77)90078-1 10.3171/jns.2000.93.supplement_3.0165 10.1136/rapm-00115550-199924040-00003 10.1007/s40266-012-0014-3 10.3171/jns.1967.26.1part2.0159 10.31080/ASNE.2023.06.0658 10.3389/fneur.2021.746035 10.3171/foc.2005.18.5.8 10.3171/jns.2005.102.2.0223 10.4103/0028-3886.170103 10.1227/00006123-198112000-00005 10.2188/jea.JE20140210 |
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| References | 2015; 26 2015; 25 2021; 12 2023; 6 2005; 102 2015; 63 1977; 3 1999; 24 1981; 9 2022; 14 2000; 93 2012; 29 1967; 26 2005; 18 2019; 155 2009; 16 e_1_2_13_13_1 e_1_2_13_15_1 e_1_2_13_16_1 e_1_2_13_10_1 e_1_2_13_11_1 e_1_2_13_12_1 e_1_2_13_9_1 e_1_2_13_8_1 (e_1_2_13_5_1) 2019; 155 e_1_2_13_7_1 e_1_2_13_6_1 Javier J. (e_1_2_13_14_1) 2022; 14 e_1_2_13_4_1 e_1_2_13_3_1 e_1_2_13_2_1 e_1_2_13_17_1 |
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| Snippet | ABSTRACT
Reports on surgical treatment for postherpetic trigeminal neuralgia after COVID vaccination have not been found in the literature. Here, we described... Reports on surgical treatment for postherpetic trigeminal neuralgia after COVID vaccination have not been found in the literature. Here, we described a case of... ABSTRACT Reports on surgical treatment for postherpetic trigeminal neuralgia after COVID vaccination have not been found in the literature. Here, we described... |
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| StartPage | e70814 |
| SubjectTerms | Anesthesia Blood pressure Case Report Case reports COVID vaccination COVID-19 vaccines Glycerol Herpes viruses herpes zoster Immunization Infections Intervention Meningitis Pain Patients percutaneous retrogasserian glycerol rhizotomy trigeminal nerve trigeminal neuralgia |
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| Title | Retrogasserian Glycerol Rhizotomy (RGGR) for Trigeminal Neuralgia Induced by Postvaccination Herpetic Reactivation: A Rare Case Report |
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