Melanie Adding ReviewAboutHerpes Zoster (Shingles): Evolution
Other possible complications include:
Encephalitis, herpes zoster, if it affects the brain (brain).
Meningitis shingles, if it affects the membranes covering the brain (meninges).
Herpes zoster myelitis, if it affects the spinal cord.
If shingles affects the nerves or their roots, one can develop polyurethane or Guillain-Barre syndrome. In the latter case, an often appears muscle weakness that starts in the legs and can go up to cause paralysis of the arms and legs. In very rare cases it can also affect the diaphragm and cause respiratory arrest, so that artificial respiration is necessary.
In rare cases, shingles can spread throughout the body and internal organs (Generalists zoster), a complication that can also be extremely dangerous and that especially affects people with immunodeficiency or immune system weakened by drug use (immunosuppressant’s).
Approximately 10 and 15% of the cases, nerve pain accompanying shingles are maintained for a longer period (called post zoster neuralgia or post-herpetic neuralgia). It affects one in two patients over 60 years and can last from months to years. A pain early can help prevent further complications. A particularly effective therapy involves combining pain relievers (analgesic) drugs and certain mental illnesses, which are also effective in the treatment of herpes zoster (known tricyclic antidepressants).