The Korean Journal of Pain

  • 제20권2호
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  • Pages.246-250
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  • 2007
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  • 2005-9159(pISSN)
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  • 2093-0569(eISSN)
대한통증학회 (The Korean Pain Society)
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DOI QR코드

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우측 경련성 사경 수술적 치료 후 좌측에 발병한 경련성 사경 환자에서 시행된 국소마취제 신경차단술의 임상효과 - 증례보고 -

Positive Effects of Local Anesthetic Nerve Blocks for a Patient with Newly Developed Left Side Spasmodic Torticollis after Surgical Intervention of Right Side Spasmodic Torticollis - A case report -

  • 최창훈 (가톨릭대학교 의과대학 마취통증의학교실) ;
  • 최진환 (가톨릭대학교 의과대학 마취통증의학교실) ;
  • 성춘호 (가톨릭대학교 의과대학 마취통증의학교실)
  • Choi, Chang Hoon (Department of Anesthesiology and Pain Medicine, College of Medicine, The Catholic University of Korea) ;
  • Choi, Jin Hwan (Department of Anesthesiology and Pain Medicine, College of Medicine, The Catholic University of Korea) ;
  • Sung, Choon Ho (Department of Anesthesiology and Pain Medicine, College of Medicine, The Catholic University of Korea)
  • 투고 : 2007.09.03
  • 심사 : 2007.11.24
  • 발행 : 2007.12.10
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초록

We report here on a case of right side spasmodic torticollis (ST) that was refractory to botulinum toxin type A injection and medication. The patient finally underwent a selective ramisectomy with ipsilateral sternocleidomastoid muscle (SCM) resection, but the remaining symptoms slowly aggravated, and a contralateral left side SCM spasm began. As conservative therapy for reducing the spasmodic symptoms, accessory nerve block, upper cervical plexus block and stellate ganglion block were performed twice in a week. After 6 months, the spasmodic symptoms significantly decreased. The Toronto Western Spasmodic Torticollis Rating Scale (TWSTRS) decreased by more than 70%. After one year of serial intermittent local anesthetic blockade therapy, the patient became almost free from the original ST symptoms (TWSTRS = 1). Serial local anesthetic interventions for the ST patient may have a beneficial role on the pathological peripherocentral neural activity of the ST patient and can modulate motor-sensory integration in the patient.

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참고문헌

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