The Korean Journal of Pain

  • 제20권2호
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  • Pages.208-212
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  • 2007
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  • 2005-9159(pISSN)
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  • 2093-0569(eISSN)
대한통증학회 (The Korean Pain Society)
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Churg-Strauss 증후군에 의한 말초신경병증의 치료경험 - 증례보고 -

Peripheral Neuropathy in a Patient with Churg-Strauss Syndrome - A case report -

  • 이준화 (충남대학교 의과대학 마취통증의학교실) ;
  • 이정현 (충남대학교 의과대학 마취통증의학교실) ;
  • 고영권 (충남대학교 의과대학 마취통증의학교실) ;
  • 이원형 (충남대학교 의과대학 마취통증의학교실)
  • Lee, Jun Hwa (Department of Anesthesiology and Pain Medicine, College of Medicine, Chungnam National University) ;
  • Lee, Jeong Hyun (Department of Anesthesiology and Pain Medicine, College of Medicine, Chungnam National University) ;
  • Go, Young Kwon (Department of Anesthesiology and Pain Medicine, College of Medicine, Chungnam National University) ;
  • Lee, Won Hyung (Department of Anesthesiology and Pain Medicine, College of Medicine, Chungnam National University)
  • 투고 : 2007.04.05
  • 심사 : 2007.10.17
  • 발행 : 2007.12.10
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초록

Although Churg-Strauss syndrome (CSS) is a rare disease that is generally associated with vasculitis, nerve involvement is also common in cases of CSS. A 48-year old man was diagnosed with a herniated disc at L4-5 and an annular tear at L5-S1 after complaining of pain and numbness in the left lower leg. Peripheral edema was observed during physical examination and the patient was diagnosed with CSS after a biopsy was conducted. In addition, electromyography and nerve conduction velocity revealed the presence of multiplex mononeuropathy, which indicated the pain and numbness was due to peripheral neuropathy caused by CSS. The symptoms were relieved after oral administration of prednisolone. This case indicates that when symptoms of peripheral neuropathy do not match the radiographic evidence other causes, such as CSS, must be considered.

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참고문헌

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