The Korean Journal of Pain

  • 제21권3호
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  • Pages.248-251
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  • 2008
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  • 2005-9159(pISSN)
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  • 2093-0569(eISSN)
대한통증학회 (The Korean Pain Society)
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외상후 척수공동증 환자에서 Ketamine 정주요법에 의한 치료 경험

Ketamine Infusion Therapy in a Patient of Posttraumatic Syringomyelia

  • 정일 (울산대학교 의과대학 강릉아산병원 마취통증의학교실) ;
  • 김영기 (울산대학교 의과대학 강릉아산병원 마취통증의학교실) ;
  • 강명수 (울산대학교 의과대학 강릉아산병원 마취통증의학교실) ;
  • 서민교 (울산대학교 의과대학 강릉아산병원 마취통증의학교실) ;
  • 이청 (을지대학교 의과대학 마취통증의학교실)
  • Jung, Il (Department of Anesthesiology and Pain Medicine, Gangneung Asan Medical Center, University of Ulsan Collage of Medicine) ;
  • Kim, Young Ki (Department of Anesthesiology and Pain Medicine, Gangneung Asan Medical Center, University of Ulsan Collage of Medicine) ;
  • Kang, Myong Soo (Department of Anesthesiology and Pain Medicine, Gangneung Asan Medical Center, University of Ulsan Collage of Medicine) ;
  • Suh, Min Kyo (Department of Anesthesiology and Pain Medicine, Gangneung Asan Medical Center, University of Ulsan Collage of Medicine) ;
  • Lee, Cheong (Department of Anesthesiology and Pain Medicine, Eulji University School of Medicine)
  • 투고 : 2008.09.23
  • 심사 : 2008.11.04
  • 발행 : 2008.12.30
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초록

The clinical syndrome of posttraumatic syringomyelia can complicate major spinal trauma and develops many months after spinal injury. The 50-90% of patients experienced the pain and especially the component of central pain. In patients with central pain following spinal cord injury, ketamine has been shown to be an effective analgesic. We report a case of posttraumatic syringomyelia in a 30-year-old woman who complained of central pain, weakness of both legs and dysesthesia. She had not responded to pulsed radiofrequency, or lidocaine infusion therapy, but a continuous intravenous infusion of ketamine, an N-methyl-D-asparate receptor antagonist, reduced her severe central pain. In conclusion, a ketamine infusion therapy resulted in a significant reduction of central pain without decreasing of motor power and function.

키워드

참고문헌

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피인용 문헌

  1. Preemptive Use of Ketamine on Post Operative Pain of Appendectomy vol.24, pp.3, 2011, https://doi.org/10.3344/kjp.2011.24.3.137