Effect of Repeated Lumbar Sympathetic Ganglion Block with Triamcinolone on Complex Regional Pain Syndrome of Vascular Origin -A case report-

혈관성 원인의 복합부위통증증후군에서의 Triamcinolone을 사용한 반복적 요부교감신경절차단의 효과 -증례 보고-

  • Jung, Sung-Mee (Division of Neuro-Pain Clinic, Department of Anesthesiology, Ajou University College of Medicine) ;
  • Han, Kyung-Ream (Division of Neuro-Pain Clinic, Department of Anesthesiology, Ajou University College of Medicine) ;
  • Ock, Kyung-Jong (Division of Neuro-Pain Clinic, Department of Anesthesiology, Ajou University College of Medicine) ;
  • Park, Soo-Kyeong (Division of Neuro-Pain Clinic, Department of Anesthesiology, Ajou University College of Medicine) ;
  • Kim, Chan (Division of Neuro-Pain Clinic, Department of Anesthesiology, Ajou University College of Medicine) ;
  • Kim, Jin-Soo (Division of Neuro-Pain Clinic, Department of Anesthesiology, Ajou University College of Medicine) ;
  • Hwang, Hyuk-E (Division of Neuro-Pain Clinic, Department of Anesthesiology, Ajou University College of Medicine)
  • 정성미 (아주대학교 의과대학 마취과학교실 통증치료실) ;
  • 한경림 (아주대학교 의과대학 마취과학교실 통증치료실) ;
  • 옥경종 (아주대학교 의과대학 마취과학교실 통증치료실) ;
  • 박수경 (아주대학교 의과대학 마취과학교실 통증치료실) ;
  • 김찬 (아주대학교 의과대학 마취과학교실 통증치료실) ;
  • 김진수 (아주대학교 의과대학 마취과학교실 통증치료실) ;
  • 황혁이 (아주대학교 의과대학 마취과학교실 통증치료실)
  • Published : 2001.06.30

Abstract

Complex regional pain syndrome type I of vascular origin is difficult to detect unless the classic symptoms and signs exist and/or overt extremity trauma has precipitated the pain. The diagnosis is confirmed by relief of pain following a sympathetic nerve blockade. A 36-year-old woman with arterial occlusive disease of the right lower extremity presented with burning pain and hyperesthesia after sprain had occurred which was accompanied by motor weakness of right ankle. A lumbar sympathetic ganglion blockade with 2% lidocaine 10 ml and triamcinolone 80 mg produced prompt improvement of the pain and motion.

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