The Korean Journal of Pain

The Korean Pain Society (대한통증학회)
권호 표지

Improvement of Migraine by Cervical Epidural Block -A case report-

경부 경막외 블록에 의한 편두통의 완화 경험 -증례 보고-

  • Kim, Ki Seok (Pain Clinic and Department of Anesthesiology, Sanggye Paik Hospital, College of Medicine, Inje University) ;
  • Lee, Woo Yong (Pain Clinic and Department of Anesthesiology, Sanggye Paik Hospital, College of Medicine, Inje University) ;
  • Woo, Seung Hoon (Pain Clinic and Department of Anesthesiology, Sanggye Paik Hospital, College of Medicine, Inje University) ;
  • Hong, Ki Hyeok (Pain Clinic and Department of Anesthesiology, Sanggye Paik Hospital, College of Medicine, Inje University)
  • 김기석 (인제대학교 의과대학 상계백병원 마취통증의학과) ;
  • 이우용 (인제대학교 의과대학 상계백병원 마취통증의학과) ;
  • 우승훈 (인제대학교 의과대학 상계백병원 마취통증의학과) ;
  • 홍기혁 (인제대학교 의과대학 상계백병원 마취통증의학과)
  • Received : 2004.10.01
  • Accepted : 2005.05.24
  • Published : 2005.06.30
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Abstract

Migraine is a disabling headache that can occur with or without aura. We present here a case of migraine that was effectively managed by a series of cervical epidural blocks. A 41-year-old woman who had suffered from severe headache on her left temporal area for 12 years visited our pain clinic. Her 11-point numeric pain rating scale was 10 out of 10 at the first visit and the symptoms were associated with homonymous visual disturbances, paresthesia on the left face, shoulder and arm, and general weakness. For the first 5 years after the headaches began, her headache was relatively well controlled by acetaminophen; after then, the acetaminophen wasn't effective. After wandering from this hospital to the next one in search of relief, she managed to visit our pain clinic. We tried several blocks including cervical epidural block, and she was continuously medicated with sumatriptan. Her headache was gradually relieved. Now, her 11-point numeric rating scale is 1-2 out of 10 at the most during her headache attacks.

Keywords

References

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