SUNCT Like Facial Pain Successfully Treated with Kakkonto and Keishikajutsubuto : A Case Report
- VernacularTitle:SUNCT 様顔面痛を呈した帯状疱疹後三叉神経痛に対し葛根湯と桂枝加朮附湯の併用が奏功した1例
- Author:
Nagahisa MURAKAMI
1
;
Masatoshi TAKAHASHI
1
;
Kumi HIGASA
2
Author Information
- Keywords: SUNCT; SUNCT like facial pain; kakkonto; keishikajutsubuto; Varicella-zoster virus
- From:Kampo Medicine 2024;75(3):204-208
- CountryJapan
- Language:Japanese
- Abstract: A 76-year-old man presented with severe headache attacks with ptosis, running tears, and conjunctival redness of the eyelid appeared dozens of times daily, three weeks after the appearance of a skin rash caused by Varicella-zoster virus (VZV) in the first branch of the right trigeminal nerve area. The headache attacks demonstrated as short-lasting unilateral neuralgia-like headache attacks with conjunctival injection and tearing (SUNCT) like facial pain MRI. He was treated with valacyclovir for VZV and analgesics for severe headache attacks, but was refractory to analgesics or stellate ganglion block other than acetaminophen. Symptoms improved after treatment with kakkonto and keishikajutsubuto, which can be used for a beneficial alternative treatment for VZV associated SUNCT like facial pain.
