The Korean Journal of Pain
- 제10권1호
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- Pages.131-133
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- 1997
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- 2005-9159(pISSN)
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- 2093-0569(eISSN)
요부 추간관절차단 및 요부 경막외차단 후 발생한 뇌졸증 -증례 보고-
Stroke after the Procedure of Lumbar Facet Joint block and Lumbar Epidural Block -Case reports-
- 이효근 (김찬 신경통증클리닉) ;
- 김성모 (김찬 신경통증클리닉) ;
- 한경림 (김찬 신경통증클리닉) ;
- 이종무 (김찬 신경통증클리닉) ;
- 고석신 (김찬 신경통증클리닉) ;
- 김찬 (김찬 신경통증클리닉)
- Lee, Hyo-Keun (Kim Chan Neuro-Pain Clinic) ;
- Kim, Sung-Mo (Kim Chan Neuro-Pain Clinic) ;
- Han, Kyung-Ream (Kim Chan Neuro-Pain Clinic) ;
- Lee, Jong-Moo (Kim Chan Neuro-Pain Clinic) ;
- Ko, Seok-Shin (Kim Chan Neuro-Pain Clinic) ;
- Kim, Chan (Kim Chan Neuro-Pain Clinic)
- 발행 : 1997.05.31
초록
Number of elderly patients requiring nerve blocks have been increasing in recent years. We had two elderly patients who suffered stroke one day and three days after lumbar facet joint block and lumbar single epidural block respectively. Both patients due to their advanced age had potential risk factor to suffer one or more of the following; stroke, hypertension, and diabetes mellitus. Due to our experience with these patients, we suggested the following: (1) Nerve blocks should be reconsidered for elderly patient who posesses a potential risk factor to suffer a stroke. (2) Prior to invasive block administration of mild sedatives or analgesics may provide beneficial effects for patients with hypertension. (3) Adequately informed consent must be fully discussed time of consultation with patient scheduled for nerve block especially for elderly and risky patient.