The Korean Journal of Pain
- 제8권1호
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- Pages.127-130
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- 1995
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- 2005-9159(pISSN)
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- 2093-0569(eISSN)
안 대상포진 환자에서 지속적 경부 경막외차단의 효과 -증례보고-
The Effect of Continuous Epidural Block for Herpes Zoster Opthalmicus
- 이희전 (남부 제일의원 신경통증과) ;
- 정소영 (세란병원 신경통증 클리닉) ;
- 이효근 (세란병원 신경통증 클리닉) ;
- 이성연 (세란병원 신경통증 클리닉) ;
- 이경진 (세란병원 신경통증 클리닉) ;
- 김찬 (세란병원 신경통증 클리닉)
- Lee, Hee-Jeon (Nam Boo Jeil Neuro-Pain Clinic) ;
- Chung, So-Young (Neuro-Pain Clinic, Seran Hospital) ;
- Lee, Hyo-Keun (Neuro-Pain Clinic, Seran Hospital) ;
- Lee, Seong-Yeon (Neuro-Pain Clinic, Seran Hospital) ;
- Lee, Kyung-Jin (Neuro-Pain Clinic, Seran Hospital) ;
- Kim, Chan (Neuro-Pain Clinic, Seran Hospital)
- 발행 : 1995.04.15
초록
A 34 year old male patient visited to our neuro-pain clinic with symtoms of a left frontal headache, eyeball throbbing and occipital pain. Two days after the first visit to our clinic. pain was aggrevated and the skin eruption appeared on the left forehead. He was diagnosed as raving Herpes Zoster Opthalmicus(HZO). We performed stellate ganglion block(SGB), but pain did not subsid. So a continuous cervical epidural block was perfomed(CCEB) and it could relieve the pain promptly. In this case, VAS(visual analogue scale) was diminished from 10 to 3 and the skin eruption was healed 24 days after the treatment with CCEB and SGB. We experienced that CCEB is more effective rather than intermittent SGB in intractable HZO. CCEB should be considered to the treatment of choice in patients with HZO.