The Korean Journal of Pain

  • 제19권1호
  • /
  • Pages.101-103
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  • 2006
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  • 2005-9159(pISSN)
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  • 2093-0569(eISSN)
대한통증학회 (The Korean Pain Society)
권호 표지

척추수술후증후군 환자에서 경구용 Prostaglandin E1에 의한 치료 경험 -증례보고-

Experience of Administering Oral Prostaglandin E1 for Failed Back Surgery Syndrome -A case report-

  • 이해광 (인제대학교 의과대학 상계백병원 마취통증의학과) ;
  • 우승훈 (인제대학교 의과대학 상계백병원 마취통증의학과) ;
  • 이우용 (인제대학교 의과대학 상계백병원 마취통증의학과)
  • Lee, Hae Kwang (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) ;
  • Lee, Woo Yong (Pain Clinic and Department of Anesthesiology, Sanggye Paik Hospital, College of Medicine, Inje University)
  • 투고 : 2005.08.16
  • 심사 : 2006.01.23
  • 발행 : 2006.06.30
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초록

Oral prostaglandin E1 (PGE1) is a medicine that is clinically applied during a treatment of patients suffering with vascular disease with chronic arterial obstruction because it has vasodilation and anti-platelet effects. The mechanisms of lumbosacral symptoms associated with spinal stenosis probably include vascular insufficiency with hypoxic injury to the cauda equina and the nerve roots. Thus, increasing the blood supply would be beneficial to improve the pathophysiologic condition. Several studies on the improvement of clinical symptoms of spinal stenosis by PGE1 treatment have been reported on. In this case, 47-year old female underwent posterior compression and posterolateral fusion with a cage at L2-4 due to L3 compression fracture, and she did not show improvement of the radiating pain of her right leg after the operation. Therefore, she received repetitive epidural catheterization and adhesiolysis, epidural block and physical therapy, but her symptoms deteriorated after temporary improvement. Finally, she was given PGE1 and the radiculopathy was completely improved, although some muscle weakness still remained.

키워드

참고문헌

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