Spinal Myoclonus Developed during Cervical Epidural Drug Infusion in Postherpetic Neuralgia Patient
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Postherpetic neuralgia is the most frequent complication of herpes zoster. Treatment of this neuropathic pain syndrome is difficult and often disappointing. Although postherpetic neuralgia is generally a self-limited condition, it can last indefinitely. Continuous epidural blockade for patients with acute zoster can shorten the duration of treatment. However, continuous epidural block has some complications such as infection, dural puncture, and total spinal and nerve damages. We report a case of myoclonus during continuous epidural block with ropivacaine, morphine, and ketamine in an acute zoster patient. (Korean J Pain 2011; 24: 169-171)
Abstract
Postherpetic neuralgia is the most frequent complication of herpes zoster. Treatment of this neuropathic pain syndrome is difficult and often disappointing. Although postherpetic neuralgia is generally a self-limited condition, it can last indefinitely. Continuous epidural blockade for patients with acute zoster can shorten the duration of treatment. However, continuous epidural block has some complications such as infection, dural puncture, and total spinal and nerve damages. We report a case of myoclonus during continuous epidural block with ropivacaine, morphine, and ketamine in an acute zoster patient. (Korean J Pain 2011; 24: 169-171)
참고문헌 (14)
- 심우석, "대상포진 및 대상포진후신경통 환자의 치료", The Korean Journal of Pain, 21(2), pp.93~105 (2008), 대한통증학회
- Hoehn MM, "Cherington M. Spinal myoclonus", Neurology, 27, pp.942~946 (1977)
- Caviness JN, "Myoclonus: current concepts and recent advances", Lancet Neurol, 3, pp.598~607 (2004)
- Kloke M, "Complications of spinal opioid therapy: myoclonus, spastic muscle tone and spinal jerking", Support Care Cancer, 2, pp.249~252 (1994)
- Cartwright PD, "Myoclonic spasms following intrathecal diamorphine", J Pain Symptom Manage, 8, pp.492~495 (1993)
- Fox EJ, "Myoclonus following spinal anesthesia", Neurology, 29, pp.379~380 (1979)
- Menezes FV, "Spinal myoclonus following combined spinal-epidural anaesthesia for Caesarean section", Anaesthesia, 61, pp.597~600 (2006)
- Yamashita A, "A comparison of the neurotoxic effects on the spinal cord of tetracaine, lidocaine, bupivacaine, and ropivacaine administered intrathecally in rabbits", Anesth Analg, 97, pp.512~519 (2003)
- Jankovic J, "Segmental myoclonus. Clinical and pharmacologic study", Arch Neurol, 43, pp.1025~1031 (1986)
- Ford B, "Spinal myoclonus induced by an intrathecal catheter", Mov Disord, 12, pp.1042~1045 (1997)
- Mori K, "A neurophysiologic study of ketamine anesthesia in the cat", Anesthesiology, 35, pp.373~383 (1971)
- Hirshman CA, "Ketamine-aminophylline-induced decrease in seizure threshold", Anesthesiology, 56, pp.464~467 (1982)
- Potter JM, "Myoclonus associated with treatment with high doses of morphine: the role of supplemental drugs", BMJ, 299, pp.150~153 (1989)
- Andrade DM, "Treatment options for epileptic myoclonus and epilepsy syndromes associated with myoclonus", Expert Opin Pharmacother, 10, pp.1549~1560 (2009)