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삼차신경통 환자에서 안와상 신경과 활차상 신경에 시행한 박동성 고주파술에 의한 치료경험 -증례보고-
서귀주,신흥동,김종해,송석영,노운석,정진용,Seo, Kwi Chu,Shin, Heung Dong,Kim, Jong Hae,Song, Seok Young,Rho, Woon Seok,Chung, Jin Yong 대한통증학회 2009 The Korean Journal of Pain Vol.22 No.2
Pharmacological management is the first choice for treatment of the trigeminal neuralgia patients; however, if this mode of treatment fails a minimally invasive procedure should be performed. One of the most commonly used procedures is conventional radiofrequency lesioning of the Gasserian ganglion. Despite its popularity and success rate, this technique has disadvantages such as diminished corneal reflex, masseter weakness, numbness and anesthesia dolorosa. As a result, many studies have been conducted in an attempt to find a better method of treating trigeminal neuralgia. We report here a case of a trigeminal neuralgia patient that was treated with pulsed radiofrequency lesioning of the supraorbital and supratrochlear nerve due to pain in the frontal head that was refractory to the pharmacological treatments. Following the procedure, the Visual Analogue Scale score for pain decreased to 1-2/10 and the pain relief persisted for 7 months. These results indicate that pulsed radiofrequency treatment of the peripheral nerve may be useful for trigeminal neuralgia patients that do not respond to pharmacological treatments.
삼차신경통 환자에서 안와상 신경과 활차상 신경에 시행한 박동성 고주파술에 의한 치료경험−증례보고−
서귀주,김종해,송석영,노운석,신흥동,정진용 대한통증학회 2009 The Korean Journal of Pain Vol.22 No.2
Pharmacological management is the first choice for treatment of the trigeminal neuralgia patients; however, if this mode of treatment fails a minimally invasive procedure should be performed. One of the most commonly used procedures is conventional radiofrequency lesioning of the Gasserian ganglion. Despite its popularity and success rate, this technique has disadvantages such as diminished corneal reflex, masseter weakness, numbness and anesthesia dolorosa. As a result, many studies have been conducted in an attempt to find a better method of treating trigeminal neuralgia. We report here a case of a trigeminal neuralgia patient that was treated with pulsed radiofrequency lesioning of the supraorbital and supratrochlear nerve due to pain in the frontal head that was refractory to the pharmacological treatments. Following the procedure, the Visual Analogue Scale score for pain decreased to 1−2/10 and the pain relief persisted for 7 months. These results indicate that pulsed radiofrequency treatment of the peripheral nerve may be useful for trigeminal neuralgia patients that do not respond to pharmacological treatments.
폐절제술 후 진통 목적으로 시행한 흉추 경막외 카테터로 인한 척수 손상 -증례보고-
서귀주 ( Kwi Chu Seo ),김정은 ( Jung Eun Kim ),김종해 ( Jong Hae Kim ),송석영 ( Seok Young Song ),정진용 ( Jin Yong Chung ),노운석 ( Woon Seok Roh ) 대한마취과학회 2009 Korean Journal of Anesthesiology Vol.56 No.6
A thoracotomy is one of the most severe painful operations. This severe pain can usually be controlled by thoracic epidural analgesia. Epidural catheterization for analgesia has several complications, e.g., epidural hematoma, abscess, spinal stenosis, spinal infarction, direct cord trauma, and neurotoxicity by chemical contamination. These complications can cause acute paraplegia, but permanent paraplegia is extremely rare. We report a case of paresthesia and temporary paralysis in a 54-year-old patient who suffered spinal cord injury after thoracic epidural catheterization for the control of postpneumonectomy pain under general anaesthesia. (Korean J Anesthesiol 2009; 56: 720~4)
Desflurane을 사용한 전신마취 중 에피네프린 국소침윤 후 발생한 심정지 -증례 보고-
정진용,김정은,이동근,김종해,서귀주,송석영 대한마취통증의학회 2011 Anesthesia and pain medicine Vol.6 No.1
Topical epinephrine is useful to reduce bleeding and to give a clear operative field during general anesthesia. However, epinephrine at clinical doses has adverse cardiovascular effects, such as transient hypertension and arrhythmia. We report a case of cardiac arrest following the local infiltration of epinephrine during desflurane anesthesia. The patient recovered without sequelae after intensive care. However, it is recommended that caution is exercised when the local infiltration of epinephrine is used during general anesthesia. (Anesth Pain Med 2011; 6: 41∼44)