Case Report

Varicella-Zoster-Mediated Radiculitis Reactivation following Cervical Spine Surgery: Case Report and Review of the Literature

Table 1

Patients with herpes radiculitis—study, demographics, and presenting symptoms.

AuthorAge/sexIndication for initial interventionLocationPresenting symptom Time to outbreak, if applicable

Conliffe et al. [1]75/ML5 radiculopathy with foot drop Lumbosacral distribution, L5Herpetic rash No information
Haverkos et al. [2]52/MT9 to L1 laminectomy for excision of arteriovenous malformationBelow umbilicus (T10) in all dermatomes.Back pain and complete paralysis of both legs 9 days postoperatively
Haverkos et al. [2]50/FL4 laminectomy, L4-5 discectomy, and bilateral L5 foraminotomies for herniated discS2 and S3Clusters of vesicular lesions in right S2 and S3 dermatomes 3 days postoperatively
Haverkos et al. [2]55/FL4-5 discectomyRight buttock laterally3 clusters of vesicles (3 × 4 cm) 5 days postoperatively
Makkar et al. [3]30/FBilateral transforaminal fluoroscopy-guided steroid injection at L4 for 1 year of low back pain and radiculopathyT10Burning sensation and eruption of herpes zoster lesions 5 days after injection
Makkar et al. [3]42/FSerial transforaminal steroid injections for L5 radiculopathy of 6 months durationT8Pruritis and herpes zoster lesions After third injection
Grauvogel and Vougioukas [4]56/MForaminotomy for dysesthetic pain in C8 nerve root distributionC6 and C7New motor deficits 2 days postoperatively
Godfrey et al. [5]59/M2-stage anterior and posterior spinal fusion for progressive idiopathic adult lumbar scoliosisT4 and T5Severe left-sided chest pain and painful vesicular rash29 days postoperatively
Godfrey et al. [5]47/FAnterior left 8th rib thoracotomy and cord decompression for lower extremity hyperreflexia and left T7 and T9 intercostal hyperalgesiaLeft 7th, 8th, and 9th ribSudden onset severe left thoracogenic pain and vesicular eruptions 5 days postoperatively
Parsons and Hawboldt [6]42/MSeries of 6 epidural blocks for complex regional pain syndromeRight L2 Burning sensation followed by shingles lesions 7 days postoperatively7 days postoperatively
Hung et al. [7]70/MHospital admission for multiple fractures and compression of S1 ventral ramusS1Severe tingling pain and allodynia 30th day of hospital admission
Szokol and Gilbert [8]52/FEpidural steroid injection at L4-L5 interspaceS3Pruritus in tailbone and herpes zoster outbreak in S3 distribution with no tenderness4 days after injection
Nabors et al. [9]57/FT6-T8 laminectomy for spinal cord meningiomaBoth buttocksVesicular rash 7 days postoperatively
Nabors et al. [9]61/FOcciput to C3 fusion because of underlying multiple myelomaVertex to base of neck with lesions at the rim of the pinna of the earVesicular rash on the back of the head 5 months postoperatively
Nabors at el. [9]63/FRight L5 hemilaminectomy for excision of ruptured L5-S1 disc with topical corticosteroid applied to S1 nerve rootLeft buttockVesicular rash 2 days postoperatively
Nabors et al. [9]61/FL3-L5 laminectomy for decompression with topical steroids applied to nerve rootsBoth buttocks Vesicular lesions7 days postoperatively
Nabors et al. [9]77/FC3-C6 laminectomy for decompression of canal stenosisRight side of lower back and buttocksVesicular rash 7 days postoperatively
Nabors et al. [9]62/FRight frontal craniotomy for clipping of aneurysmRight side of chestVesicular rash 7 days postoperatively
Nabors et al. [9]60/MLeft craniotomy for Glioblastoma Multiforme resectionBoth eyes (V1 distribution)Progressive right side weakness and, one week after, bilateral periorbital swelling10 months postoperatively