Trigeminal trophic syndrome (TTS) is characterized by pain which is chronic and debilitating, burning sensation and itching in the distribution of trigeminal nerve. Here in this case report, we present a 44–year–old female with ulcer, severe pain, itching and stinging sensation on her right forehead and scalp following an episode of herpes zoster involving V1 segment of trigeminal nerve. This case is reported as being rare as there is involvement of scalp rather than the classical presentation in the alae of nose.