The Korean Journal of Pain

The Korean Pain Society (대한통증학회)
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Lumbar Sympathetic Block for Spinal Cord Infarction Patient -A case report-

요부교감신경차단으로 척수경색 환자의 하지통증 치료 -증례보고-

  • Kim, Dong Hee (Department of Anesthesiology and Pain Medicine, College of Medicine, Dankook University) ;
  • Park, Sang Wook (Department of Anesthesiology and Pain Medicine, College of Medicine, Dankook University) ;
  • Kim, Hyung Jee (Department of Urology, College of Medicine, Dankook University)
  • 김동희 (단국대학교 의과대학 마취통증의학교실) ;
  • 박상욱 (단국대학교 의과대학 마취통증의학교실) ;
  • 김형지 (단국대학교 의과대학 비뇨기과학교실)
  • Received : 2006.05.30
  • Accepted : 2006.10.09
  • Published : 2006.12.30
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Abstract

This report describes a case of spinal cord infarction after acupuncture. The patient was treated with lumbar sympathetic block with using C-arm fluoroscopy. A 66-year-old patient with chronic low back pain and radiating pain in the lower limb was treated with acupuncture and he suddenly had a loss of motor and sensory of both lower extremities. His clinical presentaion and neuroimaging studies were consistent with spinal cord infarction. He was treated with steroid megatherapy and he showed improved in motor function, but there was no pain relief despite the phamacological treatments that were combined with caudal blockade. He visited to our hospital and had lumbar sympathetic blockade performed. The pain was relieved without any related complication after 1 month (VAS $9/10{\rightarrow}2/10$), and he has been content with the results of treatment.

Keywords

References

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