The Korean Journal of Pain

The Korean Pain Society (대한통증학회)
권호 표지

Improvement of Spinal Central Pain by Brachial Plexus Block -A case report-

상완 신경총 차단에 의한 척수성 중추통증의 완화 -증례보고-

  • Kim, Ok Sun (Department of Anesthesiology and Pain Medicine, Sanggye Paik Hospital, college of Medicine, Inje University) ;
  • Lee, Woo Yong (Department of Anesthesiology and Pain Medicine, Sanggye Paik Hospital, college of Medicine, Inje University) ;
  • Yoo, Byung Hoon (Department of Anesthesiology and Pain Medicine, Sanggye Paik Hospital, college of Medicine, Inje University) ;
  • Lim, Yun Hee (Department of Anesthesiology and Pain Medicine, Sanggye Paik Hospital, college of Medicine, Inje University) ;
  • Kim, Seung Oh (Department of Anesthesiology and Pain Medicine, Dental Hospital, School of Dentistry, Dankook University)
  • 김옥선 (인제대학교 의과대학 상계백병원 마취통증의학과) ;
  • 이우용 (인제대학교 의과대학 상계백병원 마취통증의학과) ;
  • 유병훈 (인제대학교 의과대학 상계백병원 마취통증의학과) ;
  • 임윤희 (인제대학교 의과대학 상계백병원 마취통증의학과) ;
  • 김승오 (단국대학교 치과대학 부속 치과병원 마취통증의학과)
  • Received : 2005.10.24
  • Accepted : 2006.10.20
  • Published : 2006.12.30
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Abstract

Central pain is defined as pain associated with lesions of the central nervous system, and is among the most intractable of chronic pain syndromes. A 47 year-old-female, who had right arm and shoulder pain, was diagnosed with syringomyelia of the Arnold Chiari malformation type I and received foramen magnum decompression and a syringo-subarachnoid shunt. After the operation, the evoked pain was improved, but she complained of a continuous burning pain, coupled with cold and tactile allodynia. This symptom failed to fully subside on administration of oral medicine; therefore, brachial plexus block was performed, which relieved her pain transiently. Through repeated trials, a gradual decrease in the pain intensity and frequency was found. However, the way in which brachial plexus block improves spinal central pain is not completely known.

Keywords

References

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