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Korean J Pain. 2013 Jan;26(1):72-5. doi: 10.3344/kjp.2013.26.1.72. Epub 2013 Jan 4.

Spinal arteriovenous malformation masquerating zoster sine herpete.

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  • 1Department of Anesthesiology and Pain Medicine, Ajou University Hospital, Suwon, Korea.


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.


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

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