경부 경막외 블록에 의한 편두통의 완화 경험 증례 보고
Improvement of Migraine by Cervical Epidural Block A case report
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Abstract
Migraine is a disabling headache that can occur with or without aura. We present here a case of migraine that was effectively managed by a series of cervical epidural blocks. A 41-year-old woman who had suffered from severe headache on her left temporal area for 12 years visited our pain clinic. Her 11-point numeric pain rating scale was 10 out of 10 at the first visit and the symptoms were associated with homonymous visual disturbances, paresthesia on the left face, shoulder and arm, and general weakness. For the first 5 years after the headaches began, her headache was relatively well controlled by acetaminophen; after then, the acetaminophen wasn't effective. After wandering from this hospital to the next one in search of relief, she managed to visit our pain clinic. We tried several blocks including cervical epidural block, and she was continuously medicated with sumatriptan. Her headache was gradually relieved. Now, her 11-point numeric rating scale is 1－2 out of 10 at the most during her headache attacks.
참고문헌 (20)
- "Bonica’s management of pain Edited by Loeser JD", pp.873~91 (2001)
- "Headache Classification Committee of the International Headache Society Classification and diagnostic criteria for headache disorders", pp.1~96
- "Prevalence of migraine in the United States", 267, pp.64~9 (1992)
- "Epidemiology and impact of headache Edited by SD Silberstein", pp.85~107 (2001), Oxford University Press
- "Release of vasoactive peptides in the extracerebral circulation of men and the cat during activation of the trigeminovascular system", 23, pp.193~6 (1988)
- "Innervation of the feline cerebral vasculature by nerve fibers containing calcitonin gene-related peptide:trigeminal origin an co-existence with substance P", 62, pp.131~6 (1985)
- "Expression of c-fos-like immunoreactivity in the caudal medulla and upper cervical spinal cord following stimulation if the sagittal sinus in the cat", 629, pp.95~102 (1993)
- "Brainstem activation in spontaneous human migraine attacks", 1, pp.658~60 (1995)
- "Therapeutic implications of central and peripheral neurologic mechanisms in migraine", 61, pp.~20 (2003)
- "Alignment of receptor nomenclature with the human genome:classification of 5- HT1B and 5-HT1D receptor subtypes", 17, pp.103~5 (1996)
- "Differential distribution of 5HT1D- and 5HT1B-immunoreactivity within the human trigemino-cerebrovascular system:implications for the discovery of new antimigraine drugs", 17, pp.833~42 (1997)
- "Vasospasm-induced myocardial infarction with sumatriptan", 36, pp.329~31 (1996)
- "Antimigraine drugs", 246, pp.515~9 (1999)
- "An overview of the diagnosis and pharmacologic treatment of migraine", 71, pp.1055~66 (1996)
- "Anatomy and physiology of headache", 49, pp.435~45 (1995)
- "Exploration of NMDA receptors in migraine:therapeutic and theoretic implications", 15, pp.181~9 (1995)
- "The NMDA receptor antagonist MK-801 reduces Fos-like immunoreactivity within the trigeminocervical complex following superior sagittal sinus stimulation in the cat"
- "Epidural steroids as a pharmacological approach", 18, pp.~6 (2000)
- "Clinical use of spinal or epidural steroids", 68, pp.613~20 (2002)
- "Stellate ganglion block for the treatment of classic migraine", 8, pp.120~3 (1995)