방사선 구개상을 이용한 제3 후두 신경 고주파신경절개술의 시행 -증례보고-

Third Occipital Nerve Radiofrequency Neurotomy with Radiologic Open Mouth View -A case report-

  • 박정주 (가톨릭대학교 의과대학 마취통증의학교실) ;
  • 정미애 (한양대학교 의과대학 마취통증의학교실) ;
  • 심재철 (한양대학교 의과대학 마취통증의학교실)
  • Park, Jung Ju (Department of Anesthesiology and Pain Medicine, College of Medicine, The Catholic University of Korea) ;
  • Jung, Mi Ae (Department of Anesthesiology and Pain Medicine, College of Medicine, Hanyang University) ;
  • Shim, Jae Chol (Department of Anesthesiology and Pain Medicine, College of Medicine, Hanyang University)
  • 투고 : 2006.08.24
  • 심사 : 2006.12.04
  • 발행 : 2006.12.30

초록

Radiofrequency lesioning is a valuable tool for third occipital headache. Relative to most neural targets, a radiofrequency lesion is very small. Reliable pre-operative diagnosis of the nociceptive source is critical, as inappropriately placed lesions will not modulate pain. Knowledge of the anatomical courses of nerves and extremely precise electrode placement are required for accurate lesioning. This report describes our experience with RF lesioning in the treatment of chronic pain in two patients who suffered from third occipital headaches. In one patient, satisfactory improvement of the pain was observed after 10 months of follow up.

키워드

참고문헌

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