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ltrasound-Guided Infraorbital Nerve Pulsed Radiofrequency Treatment for Intractable Postherpetic Neuralgia - A Case Report -

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초록

A 60-year-old man presented with pain on the left cheek and lateral nose. The patient had been diagnosed with facial herpes zoster in the left V2 area 6 months previously. Medical treatment was prescribed for 6 months but it had little effect. We blocked the left infraorbital nerve under ultrasound guidance, but pain relief was short term. Therefore, we performed pulsed radiofrequency treatment on the left infraorbital nerve under ultrasound guidance. Six months after the procedure, the reduction of pain was still maintained, and there was no need for further management.

Abstract

A 60-year-old man presented with pain on the left cheek and lateral nose. The patient had been diagnosed with facial herpes zoster in the left V2 area 6 months previously. Medical treatment was prescribed for 6 months but it had little effect. We blocked the left infraorbital nerve under ultrasound guidance, but pain relief was short term. Therefore, we performed pulsed radiofrequency treatment on the left infraorbital nerve under ultrasound guidance. Six months after the procedure, the reduction of pain was still maintained, and there was no need for further management.

참고문헌 (10)

  1. Hashizume K, "Herpes zoster and post-herpetic neuralgia", Nihon Rinsho, 59, pp.1738~1742 (2001)
  2. Fashner J, "Herpes zoster and postherpetic neuralgia: prevention and management", Am Fam Physician, 83, pp.1432~1437 (2011)
  3. Nguyen M, "Pulsed radiofrequency V2 treatment and intranasal sphenopalatine ganglion block: a combination therapy for atypical trigeminal neuralgia", Pain Pract, 10, pp.370~374 (2010)
  4. Rahman M, "Anatomic study of the infraorbital foramen for radiofrequency neurotomy of the infraorbital nerve", Neurosurgery, 64, pp.423~427 (2009)
  5. Tsui BC, "Ultrasound imaging to localize foramina for superficial trigeminal nerve block", Can J Anaesth, 56, pp.704~706 (2009)
  6. Schmid T, "Acute and postherpetic neuralgia in the elderly: analysis of evidence for therapeutic options", Rev Med Suisse, 8, pp.1374~1378 (2012)
  7. Haridas A, "Long-term results of 405 refractory trigeminal neuralgia surgeries in 256 patients", Zentralbl Neurochir, 69, pp.170~174 (2008)
  8. Hall GC, "Primary care incidence and treatment of four neuropathic pain conditions: a descriptive study, 2002-2005", BMC Fam Pract, 9, pp.26~ (2008)
  9. Bhaskar AK, "Interventional management of cancer pain", Curr Opin Support Palliat Care, 6, pp.1~9 (2012)
  10. Koscielniak-Nielsen ZJ, "Ultrasound-guided peripheral nerve blocks: what are the benefits?", Acta Anaesthesiol Scand, 52, pp.727~737 (2008)

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