The Korean Journal of Pain
- 제9권2호
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- Pages.390-394
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- 1996
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- 2005-9159(pISSN)
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- 2093-0569(eISSN)
후두신경통과 신경차단
The Effects of Nerve Blocks in the Management of Occipital Neuralgia
- 정의택 (한림대학교 의과대학 마취과학교실 통증치료실) ;
- 최홍철 (한림대학교 의과대학 마취과학교실 통증치료실) ;
- 임소영 (한림대학교 의과대학 마취과학교실 통증치료실) ;
-
신근만
(한림대학교 의과대학 마취과학교실 통증치료실) ;
- 홍순용 (한림대학교 의과대학 마취과학교실 통증치료실) ;
- 최영룡 (한림대학교 의과대학 마취과학교실 통증치료실) ;
- 정용중 (정용중 통증클리닉 의원)
- Jeong, Eui-Taeg (Pain Clinic, Department of Anesthesiology, Hallym University Medical School) ;
- Choi, Hong-Cheol (Pain Clinic, Department of Anesthesiology, Hallym University Medical School) ;
- Lim, So-Young (Pain Clinic, Department of Anesthesiology, Hallym University Medical School) ;
-
Shin, Keun-Man
(Pain Clinic, Department of Anesthesiology, Hallym University Medical School) ;
- Hong, Soon-Yong (Pain Clinic, Department of Anesthesiology, Hallym University Medical School) ;
- Choi, Young-Ryong (Pain Clinic, Department of Anesthesiology, Hallym University Medical School) ;
- Jeong, Yong-Joong (Jeongyongjoong Pain Clinic)
- 발행 : 1996.11.23
초록
Background: Occipital neuralgia is characterized by pain, usually deep and aching, in the distribution the second and/or third cervical dorsal root. Two broad groups of patients include primary occipital neuralgia with no apparent etiology and secondary neuralgia with structural pathology. Patients with occipital neuralgia can develop autonomic changes and hyperesthesia. In patients who have not improved with conservative treatment, we have carried out various nerve blocks and evaluated the effectiveness. Methods: In a series of 20 occipital neuralgia patients with no apparent etiolgy, we have carried out great occipital nerve blocks with needle TEAS. In patients who have not improved more than 75% on VAS with great occipital block, we have carried out C2 ganglion blocks and in patients who have not improved more than 75% with C2 ganglion block, C3 root blocks, C2/C3 facet joint blocks have been carried out in due order. Results: In 3 patients out of 10 patients who have not improved with great occipital nerve block, C2 ganglion block led to pain relief. A good response of C3 root block was achived in 2 of 7 patients without response to C2 ganglion block and C2/C3 facet joint block led to improvement in 1 of 5 patients without response to C3 root block. Conclusions: Nerve blocks like great occipital nerve block, C2 ganglion block, C3 root block, or C2/C3 facet joint block were effective in the patients who have not improved with conservative treatment.
키워드