Case Report

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

Table 2

Treatments and outcome of patients with herpes radiculitis.

AuthorTreatmentFollow-up and outcome, if applicable

Conliffe et al. [1]Fluoroscopically guided R L5 transforaminal epidural injection with Depo-Medrol and lidocaine6 weeks: pain decreased and improvement in right foot weakness with ability to ambulate
Haverkos et al. [2]VidarabineSeveral days; skin lesions and CSF pleocytosis resolved but neurologic status unchanged
Haverkos et al. [2]No treatment mentionedNot mentioned
Haverkos et al. [2]No treatment mentionedNot mentioned
Makkar et al. [3]AcyclovirLesion resolved and postherpetic neuralgia did not occur
Makkar et al. [3]Acyclovir and amytryptylineFew days; resolution of skin lesions postherpetic neuralgia did not occur
Grauvogel and Vougioukas [4]Acyclovir3 months: neurologic deficits improved
Godfrey et al. [5]Acyclovir (then switched to famciclovir) and gabapentin1 year: pain resolution with mild rib pain (3/10) and no new skin lesions
Godfrey et al. [5]Valacyclovir and gabapentin (GBN later discontinued due to adverse effects)1 year: no pain or skin eruptions
Parsons and Hawboldt [6]Valacyclovir1 year: resolution of complex region pain syndrome after 12-month period
Hung et al. [7]Valacyclovir7 days: skin lesions and tingling pain resolved
Szokol and Gilbert [8]AcyclovirSeveral weeks; skin lesions resolved and patient had 50% reduction of radicular symptoms
Nabors et al. [9]AcyclovirComplete resolution of rash and skin lesions
Nabors et al. [9]Antibiotics and Acylovir; tricyclic antidepressant and analgesics administered for postherpectic neuralgia9 days: resolution of skin lesions but patient developed tenderness at site of former lesions with relief provided by TCA and analgesics
Nabors at el. [9]AcyclovirResolution of skin lesions
Nabors et al. [9]AcyclovirResolution of skin lesions
Nabors et al. [9]AcyclovirResolution of skin lesions
Nabors et al. [9]No treatment mentionedPatient transferred to another hospital
Nabors et al. [9]Virotropic ophthalmic solutionResolution of Herpes dendritic keratitis but patient became comatose and eventually died