대한치과마취과학회지 (Journal of The Korean Dental Society of Anesthesiology)

  • 제10권2호
  • /
  • Pages.197-202
  • /
  • 2010
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  • 1598-4044(pISSN)
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  • 2383-7039(eISSN)
대한치과마취과학회 (The Korean Dental Society of Anesthsiology)
권호 표지

다발성 경화증 노인환자에서 하악 전달마취 시행후 발생된 급성 요통치험 1예 -증례 보고-

Acute Back Pain Care after Mandibular Block Anesthesia in an Aged Woman with Multiple sclerosis -A Case Report-

  • 이천의 (연세대학교 치과대학 구강악안면외과학교실(원주기독병원)) ;
  • 모동엽 (연세대학교 치과대학 구강악안면외과학교실(원주기독병원)) ;
  • 유재하 (연세대학교 치과대학 구강악안면외과학교실(원주기독병원)) ;
  • 최병호 (연세대학교 치과대학 구강악안면외과학교실(원주기독병원)) ;
  • 김종배 (계명대학교 의과대학 동산의료원 치과학교실(구강악안면외과))
  • Lee, Chun-Ui (Department of Oral & Maxillofacial Surgery, College of Dentistry, Yonsei University (Wonju Christian Hospital)) ;
  • Mo, Dong-Yub (Department of Oral & Maxillofacial Surgery, College of Dentistry, Yonsei University (Wonju Christian Hospital)) ;
  • Yoo, Jae-Ha (Department of Oral & Maxillofacial Surgery, College of Dentistry, Yonsei University (Wonju Christian Hospital)) ;
  • Choi, Byung-Ho (Department of Oral & Maxillofacial Surgery, College of Dentistry, Yonsei University (Wonju Christian Hospital)) ;
  • Kim, Jong-Bae (Department of Dentistry (Oral and Maxillofacial Surgery), Dongsan Medical Center, College of Medicine, Keimyung University)
  • 투고 : 2010.12.10
  • 심사 : 2010.12.20
  • 발행 : 2010.12.31
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초록

Multiple sclerosis is a degenerative disease prevalent in northern climates, and its cause is unknown. The histopathological lesion in multiple sclerosis is the sclerotic "plague", a discrete focus of myelin loss with maintenance of axon segments and glial proliferation. The plaques may be seen in widely different brain and spinal tissues. The common causes of low back pain are psychosomatic disorder, myofascial pain dysfunction syndrome and herniation of nucleus pulposus. Local anesthetics cross the blood-brain barrier and the signs of CNS toxicity appear at a level between 4.5 and $7.0\;{\mu}g/ml$. This is a case report of acute back pain care after mandibular block anesthesia for the surgical extraction of mandibular root rests in an old aged woman with multiple sclerosis.

키워드

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