RESUMEN
Neurotrauma can cause devastating outcomes for patients both from primary as well as secondary injury. Sensory loss following neurotrauma is often overlooked and undermanaged. To gain awareness about this important topic, we highlight key findings of visual, hearing, taste, and smell disturbances that can occur after injury. The pathways are highlighted as well as significant pathophysiology. Both primary disruption as well as secondary disruptions from ongoing inflammation are addressed. The figures are designed to be user friendly guides for the clinician to help manage these patients. In the final section, we address key management strategies and approaches. The strategies deal with multidisciplinary care as well as multimodality treatments. This review serves as a primer for early recognition of deficits and initiation of appropriate treatments.
RESUMEN
Herpes zoster opthalmicus (HZO) is the reactivation of latent varicella zoster virus (VZV) within the ophthalmic branch of the trigeminal ganglion (V1). Common complications are postherpetic neuralgia and vasculopathy. Here, we report a rare case of a 47-year-old female presenting with HZO and aseptic cavernous sinus thrombosis (CST). Early screening for rare and deadly complications such as CST using CT cerebral venography (CTV) and magnetic resonance venography (MRV), as was done, is crucial to detection at earlier stages when intervention is most effective. Anticoagulation therapy was promptly started, and the patient's symptoms continued to improve during the hospital stay.
