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윤경봉(Kyung Bong Yoon),이영복(Yoang Bok Lee),김순 대한통증학회 1995 The Korean Journal of Pain Vol.8 No.2
Although spinal anesthesia has long been considered a safe technique, it is not without risk or side effect. Cauda equina syndrome is a rare but serious complication of spinal anesthesia. We have experience a case of cauda equina syndrome after spinal anesthesia. A twenty year old healthy male patient complained of pain, numbness, tingling sensation and motor weakness on his right lower extremity 8 hours after subarachnoid blockade. On the following day, the pa- tient was noted to have a right Ll to S2 radiculopathy. Magnetic Resonance Imaging results were unremarkable. The patient sprained his ankle while trying to move down from the bed, so short leg splint was applied. Then he had additional right common peroneal nerve injury from the splint. His neurologic symptoms im- proved gradually thereafter, and three months postoperatively his electromyogram revealed improving stage from right common peroneal nerve palsy.
다한증 환자에서 흉부 교감신경절 차단과 인지 체온 변화와의 관계
이효근(Hyo Keun Lee),윤경봉(Kyung Bong Yoon),서영 대한통증학회 1994 The Korean Journal of Pain Vol.7 No.2
N/A Percutaneous neurolysis of upper thoracic sympathetic ganglion was performed in 40 pa- tients by simultaneously injecting 3ml of pure alcohol into the T2 and T3 levels after 3 ml of injection of local anesthetic agent on the same sites. Using a skin temperature probe, finger tip temperatures were measured on the index finger ipsilateral to the nerve block before block, 15 and 30 minutes after test block, and 30 minutes after alcohol block. Alcohol block was per- formed immediately after 30 minutes test block. Finger tip temperatures obtained at 30 minutes post alcohol block and test block and the dif-ferences in the temperatures measured before and 30 minutes after alcohol block were shown to be statistically important as potential indicators for prediciting long term outcome of thera- py for palmar hyperhidrosis using this technique. These results demonstrate that the palmar temperature monitoring method is sufficiently sensitive to predict the outcome of nerve block during and after thoracic sympathetic ganglion block.
이영복(Yoang Bok Lee),윤경봉(Kyung Bong Yoon),이광 대한통증학회 1999 The Korean Journal of Pain Vol.12 No.1
Glossopharyngeal neuralgia is a rare syndrome that involves episodic bursts of pain in the sensory distributuion of the ninth cranial nerve. The nature of the pain is characterized by excruciating shock-like pain in the region of the tonsillar fossa or pharynx and can radiate to the ear or the angle of the jaw. Like trigeminal neuralgia, glossopharyngeal neuralgia typically responds to anticonvulsant agents such as carbamazepine. However, dose of carbamazepine needs to be increased gradually to avoid side effects, If the patient can not tolerate until effective carbamazepine level is reached, phenytoin can be administered intravenously at the same time that oral carbamazepine therapy is begun. We present fifty-three year old female patient suffering from glossopharyngeal neuralgia who did not respond to initial carbamazepine therapy, but responded to concomitant intravenous infusion of phenytoin.
흉부 교감신경절 차단에 의한 암성 흉부 통증환자 치험 2예
이기환(Gie Hoan Lee),윤경봉(Kyung Bong Yoon),김 찬 대한통증학회 1992 The Korean Journal of Pain Vol.5 No.1
Thoracic sympathetic ganglion block was not applied routinely because of high incidence of complication such as pneumothorax. We successfully managed a patient with sternal pain and a patient with scapular pain by tho- racic sympathetic ganglion block. We concluded that thoracic sympathetic ganglion block was an effective treatment for intrac- table cancer pain. However precise anatomical knowledgement is esseatial
이영복(Yoang Bok Lee),윤경봉(Kyung Bong Yoon),윤경 대한통증학회 1996 The Korean Journal of Pain Vol.9 No.1
Headache is one of the most frequent discomforts in human. Its significance is often abstruse, as it may signal serious disease or represent only tension, fatigue, or a migrai- nous disorder. The International Headache Society(IHS) has developed a new classification and defini- tion system of headache. Retropharyngeal tendinitis is an accepted cause of headache in the list of IHS classification. We experienced and reported a case of retropharyngeal abscess with severe occipital headache.
이영복(Yoang Bok Lee),윤경봉(Kyung Bong Yoon),박정 대한통증학회 1996 The Korean Journal of Pain Vol.9 No.2
Pain arising from pelvic viscera and perineum is frequently associated with discomfort and disability and caused by local trauma, inflammation and malignancy within the pelvis. Although various interventions have been proposed for the management of intractable perineal pain, their efficacy and applications are limited. The ganglion impar is a solitary retroperitoneal structure located at the level of the sacrococcygeal junction that marks the terminations of sympathetic chains. We propose that blockade of the ganglion impar is an effective method in the management of patient suffered from perianal pain due to advanced rectal cancer.