• Clinical and Experimental Pediatrics
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• 제52권5호
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• pp.619-621
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• 2009

돌발 반두통은 일측성이고 짧은 시간동안 심한 통증이 있는 경우이며, 대부분 두개의 자율신경계 증상을 동반한다. 이는 군발 두통의 통증, 동반 증상과 징후와 비슷하지만, 돌발 반두통은 지속시간이 더 짧고, 더 빈번하며, 인도메싸신에 잘 반응한다. 1992년에 Sjaastad에 의해 돌발 반두통이 반대쪽으로도 이동한다고 처음 보고하였으며, 문헌에는 단지 4례가 보고되었다. 4례 중 3례는 자율신경계 증상을 동반하지 않았으며, 1례만 자율신경계 증상 동반을 하였다. 저자는 10세 소아에서 자율신경계 증상을 동반한 전형적인 증상과 인도메싸신으로 치료된 양측 돌발 반두통 1례를 경험하였기에 문헌 고찰과 함께 보고하는 바이다.

• The Korean Journal of Pain
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• 제19권2호
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• pp.249-252
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• 2006

Postlaminectomy syndrome is characterized by persistent low back pain and radiculopathy of the legs after surgery of the spine. Pseudomeningocele is an uncommon cause of postlaminectomy syndrome; it is characterized by an extradural collection of cerebrospinal fluid (CSF) without dural covering, resulting from unrecognized dural tears at the time of lumbar surgery. In most cases, surgery to repair a pseudomeningocele is recommended. However if surgical treatment does not yield symptomatic relief, then conservative treatment should be considered. We treated a patient with a pseudomeningocele after spine surgery in which selective transforaminal epidural block produced long-term relief of symptoms. Here we describe the management of this patient.

• The Korean Journal of Pain
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• 제22권1호
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• pp.107-111
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• 2009

Neuroablation should be performed cautiously because neuropathic pain can occur following denervation of a somatic nerve. A 34-year-old man presented with severe penile pain and allodynia following a selective neurectomy of the sensory nerve that innervated the glans penis for treatment of his premature ejaculation. He was treated with various nerve blocks, including continuous epidural infusion, lumbar sympathetic block and sacral selective transforaminal epidural blocks, as well as intravenous ketamine therapy. However, all of the treatments had little effect on the relief of his pain. We performed spinal cord stimulation as the next therapy. After this therapy, the patient has currently been satisfied for 3 months.

• The Korean Journal of Pain
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• 제2권2호
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• pp.198-202
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• 1989

우측 암면부, 특히 안구주위에 심한 통증을 호소하고 안검하수와 더불어 우측안구의 완전마비를 동반한 선천성 난장이 환자를 경험하였던 바 이는 신경방사선과학적소견, 검사실 검사소견, 전신적 corticosteroid치료에 대한 반응이 전형적인 Tolosa-Hunt Syndrome과는 다른 비전형적인 Tolosa-Hunt Syndrome이었기에 문헌적 고찰과 함께 보고하는 바이다.

• The Korean Journal of Pain
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• 제6권2호
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• pp.204-207
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• 1993

본 통증치료실에서는 알러지성비염, 과민성대장증후군, 고혈압, 불면증, 만성변비환자를 대상으로 하루에 1회씩 총 15회의 성상신경정차단요법을 시행하였는바 총 13명중 5명에서 우수, 6명에서 양호, 3명에서 무효하였다.

• The Korean Journal of Pain
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• 제2권1호
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• pp.61-65
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• 1989

Chloroma is a localized myeloblastic tumor which may develop during the course of myelogenous leukemia or as a presenting sign of the disease. A 47-year-old female diagnosed as chronic myelogenous leukemia in her hematologic remission period complained of left lower leg pain. The lumbar-spine series showed multiple osteolytic changes in the left lateral border of the lumbar spine. An inhomogenous soft tissue mass involving left lateral aspects of lumbar vertebrae was identified by CT-scanning. At the first pain attack, lumbar epidural steroid and local anesthetic injection could abolish her pain and the patient could go a few days without pain. The following radiation therapy could also improve the symptom and retain the pain free interval. One month later, a second pain attack occurred and lumbar and caudal epidural steroid and local anesthetic injections could result only in an incidental relief of pain. Radiation and chemotherapy were started but failed to relieve pain. A neurolytic block was considered but the patient's general condition was aggravated and even verbal communication with her became impossible.

• The Korean Journal of Pain
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• 제2권1호
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• pp.30-35
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• 1989

Two hundred patients with acute and chronic pain were treated with a low power laser and 115 patients among them were divided into several groups by their pathology and evaluated their response rate to the laser therapy was evaluated through follow-up study. 1) The ages of patients were between the early twenties and late sixties, and there was no differences between sexes. 2) Degenerative spondylosis and chronic lumbar sprain were the most common diseases among those patients. 3) The average duration of therapy was about 16 days and response to the therapy appeared from the fourth day of laser therapy. 4) Acute lumbar sprain and acute spinal compression fracture showed rapid response to laser therapy. 5) The spinal pathology group was the most common at 37.5% of cases and the response rate to laser therapy was the lowest at 58.7%. 6) The articular pathology group occupied 24.6% and the response rate was the highest at 81.3%. 7). The response rate of the posttraumatic and postsurgical pathology group was 76.5%. 8) The response rate of the tendinous and sports pathology group was 75%. 9) The response rate of the miscellaneous group was 66.7%. 10) The mean response rate of all patients was 71.6%.

• The Korean Journal of Pain
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• 제20권2호
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• pp.230-234
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• 2007

A diagnosis of shoulder pain is varied and difficult to make. The initial onset of liver cancer is difficult to detect and patients typically do not complain of symptoms as most tumors are asymptomatic. If the symptoms of the patients develop, the first symptom is usually pain that extends from the abdomen to the back and shoulder. A suprascapular nerve block is used in the treatment of the referred shoulder pain due to a metastatic hepatoma, but the effectiveness of the treatment has been limited because of its short duration. Recently, the advent of pulsed radiofrequency (PRF) lesioning has proved a successful treatment for chronic refractory pain involving the peripheral nerves. We experienced a case of a 66-year-old male patient complaining of referred right shoulder pain due to metastatic liver cancer, which was relieved after PRF lesioning of the suprascapular nerve.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제9권1호
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• pp.98-102
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• 2006

저자들은 우하복부 통증을 주소로 내원한 11세 남아에서 복부 초음파와 복부 컴퓨터 단층 촬영으로 복막수염을 진단하고, 대증 요법만으로 회복된 증례를 경험하였기에 문헌 고찰과 함께 보고하는 바이다.

• 대한정형외과학회지
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• 제55권6호
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• pp.540-544
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• 2020

불안정성 골반환 손상은 고에너지 외상으로 발생하게 되는데 종종 비뇨기과적인 손상을 동반하기도 한다. 비뇨기과적 손상으로는 방광, 요관, 요도 손상이 흔하다. 고환 탈구는 골반환 손상에 동반될 수 있으나 매우 드문 것으로 보고되고 있다. 이 경우 고환의 탈구로 인한 통증을 환자가 호소하여도 골반환 손상에 의한 통증으로 간과되기가 쉽다. 고환 탈구가 조기에 진단되지 않아 치료가 지연되면 고환 괴사 등과 같은 합병증으로 이어질 수 있어 주의를 요한다. 본 저자들은 골반환 손상에 동반된 고환 탈구환자를 경험하여 이에 대한 증례보고를 하고자 한다