The Korean Journal of Pain  2013;26(1):72-75

doi:10.3344/kjp.2013.26.1.72

Spinal Arteriovenous Malformation Masquerating Zoster Sine Herpete.

Ji Young LEE 1 ; Se Jin OK ; Chang Keun OH ; Sun Kyung PARK ; Do Wan KIM ; Jong Yeun YANG

Affiliations

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Keywords

arteriovenous malformation; herpes zoster; postherpetic neuralgia; zoster sine herpete

Country

Republic of Korea

Language

English

Abstract

Zoster sine herpete (ZSH) is difficult to diagnosis during an acute period due to the absence of the characteristic zosteriform dermatomal rash; therefore, progression to postherpetic neuralgia is more common than typical zoster. In addition, misdiagnosis of other neuropathic pain as ZSH is common in clinical situations. Here, we report a case of spinal arteriovenous malformation that mimics ZSH. This is a rare condition; therefore, high clinical suspicion for a correct diagnosis and proper examination are not easy. However, early diagnosis and definitive treatment are essential to prevent neurologic deficit and mortality.