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임현경(Hyun Kyoung Lim),곽노길(No Kll Kwak),이영복 대한통증학회 1995 The Korean Journal of Pain Vol.8 No.1
N/A Hemifacial spasm is a distressing condition characterized clinically by paroxysmal and an in- voluntary movement in muscles innervated by the facial nerve on one side of the face. Block- ade of the facial nerve can be performed percutaneously, without any serious complications. There are certain clinical problems associated with the conventional procedure, such as se- vere pain and technical difficulties to find facial nerve. This report describes a fluoroscope guided facial nerve block. This new technique reduced the difficulties in identifying the facial nerve and decreased the suffering associated with the conventional way of facial nerve block.
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한경림(Kyung Ream Han),곽노길(No Kll Kwak),김수미( 대한통증학회 1999 The Korean Journal of Pain Vol.12 No.1
A 72-year-old female patient was presented complaining of unbearable abdominal pain in the upper left quadrant at our hospital. Two weeks earlier she had developed a vesicular eruption on the right C3 dermatome and 1 week earlier she had experienced a vesicular eruption on the left Tl 1 dermatome. Her medical history was unremarkable. She had suffered from severe abdominal pain in the upper left quadrant for 10 days and the mild pain in the right shoulder region for 20 days. The pain in the upper left quadrant had increased and was unresponsive to drugs prescribed by the local clinic. And we performed Tll root block with 0.5% lidocaine 5 ml and dexametasone 5 mg, and thoracic epidural blockade on 1st hospital day under diagnosis of herpes zoster infection. Her VAS were improved from 10 to 2 on 2nd hospital day. We performed thoracic epidural blockade with 0.5% lidocaine 6 ml. Her VAS were changed from 2 to 7 and so then we performed the thoracic epidural blockade with 0.5% lidocaine 5 ml and triamcinolone 40 mg on 3rd hospital day. On 4th hospital day, her VAS were from 7 to l. After 4 month of our managements she was tolerable without any medications.
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한경림(Kyung Ream Han),곽노길(No Kll Kwak),황혁이( 대한통증학회 1998 The Korean Journal of Pain Vol.11 No.1
N/A Backgrounds: Cervical epidural nerve block is useful in the management of a variety of acute, chronic and cancer related pain syndromes involving the head, face, neck and upper extrimity. To safely perfom the cervical epidural block, an appreciation of the expected distance from skin to epidural space is important. We studied the distance from skin to cervical epidural space of adults to determine if any relationship exists between patient height, weight and neck circumference and the distance from skin to epidural space. Methods: Patients 170, suffering from neck and upper extremity pain with cervical HIVD(herniated intervertebral dics) were selected. Cervical epidural block was performed at C6-7 or C7-T1 intervertebral space. Then measured the distance from skin to epidural space and analysed the relationship between age, height, weight and neck circumference and the distance from skin to epidural space. Results: The cervical epidural depth of male C6-7 , male C7-T1, female C6-7 and female C7-T1groups were 5.17±0.63, 5.47±0.59, 4.84±0.56 and 5.01±0.60 cm respectively. Cervical epidural depth significantly correlated with body weight, ponderal index and neck circumference. Conclusions: The distance from skin to cervical epidural space has significant relationships with weight, ponderal index and neck circumference. Although experience is important, patients weight and neck circumference are indicating factors of the cervical epidural depth.
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