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

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)
Publication Information
Journal of The Korean Dental Society of Anesthesiology / v.10, no.2, 2010 , pp. 197-202 More about this Journal
Abstract
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.
Keywords
Back pain; Mandibular block anesthesia; Multiple sclerosis;
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1 Polman CH, Reingold SC, Edan G, Filippi M, Hartung HP, Kappos L: Diagnostic criteria for multiple sclerosis. Ann Neurol 2005; 58: 840-6.   DOI   ScienceOn
2 Confavreux C, Vukusic S, Moreau T, Adeleine P: Relapses and progression of disability in multiple sclerosis. N Engl J Med 2000; 343: 1430-8.   DOI   ScienceOn
3 Gilbert GH: Principles of surgical risk assessment of the elderly patient. J Oral Maxillofac Surg 1990; 48: 972-9.   DOI   ScienceOn
4 Goodgold J: Rehabilitation medicine, 1st edition. Saint Louis, CV Mosby. 1988, pp 675-763.
5 Kessler RC: Social factors in psychopathology: stress, social support, and coping process. Annual review of psychology 1985; 36: 531-72.   DOI   ScienceOn
6 Malamed SF: Handbook of local anesthesia. Saint Louis, CV Mosby. 1980, pp 199-233.
7 Mccarthy FM: Medical emergencies in dentistry, 3rd ed. Philadelphia, WB Saunders. 1982, pp 307-21.
8 김규식, 강정완, 김명진, 김성문, 김수관, 김재연 등: 치과 국소마취학, 제2판. 서울, 지성출판사. 2004, pp 285-396.
9 김병직, 김문철, 전세일: 통증의 기전과 치료. 서울, 영문출판사. 1999, pp 181-7.
10 김영현: 노인 신경질환의 통증치료. 통증 1995; 5: 42-57.
11 문영명, 선희식, 강종명, 김영설, 김준명, 김철응 등: 헤리슨의 내과학, 제16판. 서울, 도서출판 엠아이피. 2006, pp 101-10.
12 민성길, 강홍조, 고경봉, 기선완, 김경희, 김도훈 등: 최신 정신의학, 제5판. 서울, 일조각. 2006, pp 521-34.
13 서순규: 성인병, 노인병학, 제1판. 서울, 고려의학. 1992, pp 492-3.
14 서정규, 김윤중, 서만욱, 조기현, 김주한, 김재문 등: 신경학, 제1판. 서울, 군자출판사. 2007, pp 247-57.
15 신동학, 최현림, 김수영, 김철환, 신호철, 이혜리 등: 가정의학, 임상편. 서울, 계축문화사. 2003, pp 1171-4.
16 홍강의, 곽동일, 강병조, 김명정, 민성길, 백인호 등: 신경정신과학, 제2판. 서울, 하나의학사. 1998, pp 631-49.
17 Simmonds M, Kumar S: The bases of low back pain. Neuro-Orthop 1992; 13: 1-14.
18 Bennett CR: Monheim's local anesthesia and pain control in dental practice, 7th ed. Saint Louis, CV Mosby 1984, pp 211-66.
19 Noseworthy JH, Lucchinetti C, Rodriguez M, Weinshenker BG: Multiple Sclerosis. N Engl J Med 2000; 343: 938-52.   DOI   ScienceOn
20 Ombregt L, Bisshop P, ter Veer HJ: A system of orthopaedic medicine, 2nd edition. Philadelphia, Churchill Livingstone. 2003, pp 23-31.