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[Relief of intractable post-herpetic neuralgia with gasserian ganglion block using methyl prednisolone acetate and with TENS].
- Source :
-
Masui. The Japanese journal of anesthesiology [Masui] 1990 Sep; Vol. 39 (9), pp. 1239-44. - Publication Year :
- 1990
-
Abstract
- A 58 year old man had been suffering from intractable left ophthalmic post herpetic neuralgia (PHN) for 7 years. He has also been treated for polyarteritis nodosa for 10 years. For pain relief, he was treated initially with frequent (4 times a day) stellate ganglion block (SGB) and peripheral ophthalmic nerve block for a month without relief. Then supraorbital nerve block with neurolytics, TENS and acupuncture were done with a slight relief of his pain. Recently his pain became worse even with imipramine 75 mg and carbamazepine 100 mg a day which relieved effectively the patient from the pain for the last 3 years. The pain was so severe to disturb his usual daily activity. Gasserian ganglion block with methyl prednisolone acetate 10 mg was done. After the block, his ADL improved markedly. Three months after the block, he had no spontaneous pain and slight pain with light touch on the injured skin did not annoy him. Several days before the block, electric stimulation to control his pain was tested. Stimulation with the electricity (4.5 mA, 10 cycle and 400 microseconds) brought him complete relief from the pain during the stimulation. Trigeminal SEP showed no response to the stimulation of injured skin.
- Subjects :
- Anti-Inflammatory Agents therapeutic use
Humans
Male
Methylprednisolone therapeutic use
Methylprednisolone Acetate
Middle Aged
Neuralgia etiology
Herpes Zoster Ophthalmicus complications
Methylprednisolone analogs & derivatives
Nerve Block
Neuralgia therapy
Transcutaneous Electric Nerve Stimulation
Trigeminal Ganglion drug effects
Subjects
Details
- Language :
- Japanese
- ISSN :
- 0021-4892
- Volume :
- 39
- Issue :
- 9
- Database :
- MEDLINE
- Journal :
- Masui. The Japanese journal of anesthesiology
- Publication Type :
- Academic Journal
- Accession number :
- 2246814