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삼차신경통 환자에서 안와상 신경과 활차상 신경에 시행한 박동성 고주파술에 의한 치료경험 -증례보고-
서귀주,신흥동,김종해,송석영,노운석,정진용,Seo, Kwi Chu,Shin, Heung Dong,Kim, Jong Hae,Song, Seok Young,Rho, Woon Seok,Chung, Jin Yong 대한통증학회 2009 The Korean Journal of Pain Vol.22 No.2
Pharmacological management is the first choice for treatment of the trigeminal neuralgia patients; however, if this mode of treatment fails a minimally invasive procedure should be performed. One of the most commonly used procedures is conventional radiofrequency lesioning of the Gasserian ganglion. Despite its popularity and success rate, this technique has disadvantages such as diminished corneal reflex, masseter weakness, numbness and anesthesia dolorosa. As a result, many studies have been conducted in an attempt to find a better method of treating trigeminal neuralgia. We report here a case of a trigeminal neuralgia patient that was treated with pulsed radiofrequency lesioning of the supraorbital and supratrochlear nerve due to pain in the frontal head that was refractory to the pharmacological treatments. Following the procedure, the Visual Analogue Scale score for pain decreased to 1-2/10 and the pain relief persisted for 7 months. These results indicate that pulsed radiofrequency treatment of the peripheral nerve may be useful for trigeminal neuralgia patients that do not respond to pharmacological treatments.
삼차신경통 환자에서 안와상 신경과 활차상 신경에 시행한 박동성 고주파술에 의한 치료경험−증례보고−
서귀주,김종해,송석영,노운석,신흥동,정진용 대한통증학회 2009 The Korean Journal of Pain Vol.22 No.2
Pharmacological management is the first choice for treatment of the trigeminal neuralgia patients; however, if this mode of treatment fails a minimally invasive procedure should be performed. One of the most commonly used procedures is conventional radiofrequency lesioning of the Gasserian ganglion. Despite its popularity and success rate, this technique has disadvantages such as diminished corneal reflex, masseter weakness, numbness and anesthesia dolorosa. As a result, many studies have been conducted in an attempt to find a better method of treating trigeminal neuralgia. We report here a case of a trigeminal neuralgia patient that was treated with pulsed radiofrequency lesioning of the supraorbital and supratrochlear nerve due to pain in the frontal head that was refractory to the pharmacological treatments. Following the procedure, the Visual Analogue Scale score for pain decreased to 1−2/10 and the pain relief persisted for 7 months. These results indicate that pulsed radiofrequency treatment of the peripheral nerve may be useful for trigeminal neuralgia patients that do not respond to pharmacological treatments.
증례보고 : 말기 신부전증 환자의 동정맥루 수술에서 액와 상완 신경총 차단후 Lidocaine 정주로 촉발된 고칼륨성 심정지
송석영 ( Seok Young Song ),신흥동 ( Heung Dong Shin ),서귀주 ( Kwi Chu Seo ),정진용 ( Jin Yong Chung ),노운석 ( Woon Seok Roh ),김봉일 ( Bong Il Kim ) 대한마취과학회 2008 Korean Journal of Anesthesiology Vol.55 No.6
Axillary brachial plexus blockade (BPB) is commonly used as an anesthetic method for patients undergoing the creation of an arteriovenous fistula (AVF) during end-stage renal disease (ESRD). Several studies have shown that the combination of intravenous lidocaine and hyperkalemia in ESRD can produce severe conduction disturbance and asystole. Here, we report a case of cardiac arrest in a 41 year old male patient who manifested severe cardiac conduction disturbance during creation of an AVF. Sixty-five minutes after BPB, the intravenous therapeutic doses of lidocaine administered to treat frequent premature ventricular contractions aggravated his heart rhythm and produced a sine wave and ventricular fibrillation. It was assumed that ventricular fibrillation was induced by a combination of local anesthetics administered during BPB and systemic hyperkalemia as a result of the ESRD [ED highlight-please ensure my changes do not alter your intended meaning]. The patient was completely resuscitated 45 minutes after the cardiopulmonary resuscitation and correction of the hyperkalemia. (Korean J Anesthesiol 2008; 55: 756~60)