척수 손상 환자의 자해 행위에 대한 기능적 상지 수술과 가바펜틴의 효용성-증례보고-
Attenuation of Self-biting in Spinal Cord Injury by Functional Upper Extremity Surgery and Gabapentin Administration-A case report-
1
조회
0
다운로드
0
인용
0
참고문헌
초록
The prevalence of self-mutilation behavior after spinal cord injury is not known. However, self-biting of fingers after spinal cord injury is a rare phenomenon. We report a case of 51-year-old man self-biting of fingers, resulting in multiple finger amputation following C5 complete spinal cord injury. We believe this to be the first Korean report of multiple finger amputation due to self-biting following spinal cord injury. The mutilative self-biting was related to depression and central pain of upper extremity. After operation for tendon transfer of brachioradialis to extensor carpi radialis brevis, his feeding skills and driving skills on electric-powered wheelchair had been improved, and then, his self-biting of fingers had been diminished. The patient has been temperate in self-biting behavior after administration of gabapentin. In our case, functional improvement of upper extremity by functional surgery and central pain relief by gabapentin provided attenuation of mutilative self-biting behavior.
Abstract
The prevalence of self-mutilation behavior after spinal cord injury is not known. However, self-biting of fingers after spinal cord injury is a rare phenomenon. We report a case of 51-year-old man self-biting of fingers, resulting in multiple finger amputation following C5 complete spinal cord injury. We believe this to be the first Korean report of multiple finger amputation due to self-biting following spinal cord injury. The mutilative self-biting was related to depression and central pain of upper extremity. After operation for tendon transfer of brachioradialis to extensor carpi radialis brevis, his feeding skills and driving skills on electric-powered wheelchair had been improved, and then, his self-biting of fingers had been diminished. The patient has been temperate in self-biting behavior after administration of gabapentin. In our case, functional improvement of upper extremity by functional surgery and central pain relief by gabapentin provided attenuation of mutilative self-biting behavior.
참고문헌 (6)
- Dahlin PA, "Self-biting with multiple finger amputations following spinal cord injury", Paraplegia, 23, pp.306~318 (1985)
- Frost FS, "Self-inflicted finger injury in individuals with spinal cord injury: an analysis of 5 cases", J Spinal Cord Med, 31, pp.109~116 (2008)
- Marmolya G, "Acro-osteolysis of the fingers in a spinal cord injury patient: a case report", Spine, 14, pp.137~139 (1989)
- Couts CA, "Self-mutilation of fingers after cervical spinal cord injury", Psychosomatics, 47, pp.269~270 (2006)
- Kasim S, "Self-biting induced by activation of L-type calcium channels in mice: dopaminergic influences", Dev Neurosci, 25, pp.20~25 (2003)
- Levendoglu F, "Gabapentin is a first line drug for the treatment of neuropathic pain in spinal cord injury", Spine, 29, pp.743~751 (2004)