Anesthesia Dolorosa following Retrogasserian Glycerol Injection for Trigeminal Neuralgia

삼차신경절액조내 순수 글리세롤 주입후 속발한 무지각성통증 -증례 보고-

  • Lee, Jeong-Soon (Department of Anesthesiology and Pain Clinic, College of Medicine Soon Chun Hyang University) ;
  • Yoon, Jong-Soo (Department of Anesthesiology and Pain Clinic, College of Medicine Soon Chun Hyang University) ;
  • Lee, Jeong-Seok (Department of Anesthesiology and Pain Clinic, College of Medicine Soon Chun Hyang University) ;
  • Kim, Yong-Ik (Department of Anesthesiology and Pain Clinic, College of Medicine Soon Chun Hyang University) ;
  • Park, Wook (Department of Anesthesiology and Pain Clinic, College of Medicine Soon Chun Hyang University) ;
  • Kim, Sung-Yell (Department of Anesthesiology and Pain Clinic, College of Medicine Soon Chun Hyang University)
  • 이정순 (순천향대학교 의과대학 마취과학교실 및 통증치료실) ;
  • 윤종수 (순천향대학교 의과대학 마취과학교실 및 통증치료실) ;
  • 이정석 (순천향대학교 의과대학 마취과학교실 및 통증치료실) ;
  • 김용익 (순천향대학교 의과대학 마취과학교실 및 통증치료실) ;
  • 박욱 (순천향대학교 의과대학 마취과학교실 및 통증치료실) ;
  • 김성열 (순천향대학교 의과대학 마취과학교실 및 통증치료실)
  • Published : 1995.11.25

Abstract

Percutaneous retrogasserian gangliolysis is suitable for treatment of trigeminal neuralgia because it is simple and effective. Further, it can avoid severe complications such as anesthesia dolorosa or dysesthesia that may develop after surgical procedure. However we have experienced an anesthesia dolorosa(pain in an area or region that is anesthetic) after percutaneous retrogasserian glycerol injection. This deafferentation pain is characterized by scratching, burning or itching sensation; and has shown to be of higher incidence in older and inemotionally unstable patients. Anesthesia dolorosa is relatively rare but difficult to treat. Consideration should be made for the complication which may develop during the procedure.

Keywords