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송정자(Jung Ja Song),한영진(Young Jin Han),최 훈(H 대한통증학회 1992 The Korean Journal of Pain Vol.5 No.2
We experienced a case of pleural effusion while treating postherpetic neuralgia in a 70 year old male patient. The patient had scar and color change on the skin along the course of the right Th4-5 intercostal nerve, characteristics of healed herpes zoster. The patient also com- plained of severe pain along the lesion site which made sleeping difficult. He had been treated with; epidural blocks with or without catheterization, epidural or regional corticosteroids; mul- tiple intraspinal and intercostal blocks with local anesthetic;- or neurolytic, alcohol, transcutaneous electrical nerve stimulation, etc., for about six months by the time of pleural effusion development. We came to the conclusion that the effusion was due to pleural irrita- tion by multiple intercostal nerve blocks, because it was bloody and developed on the affected right side, although the patient had a history of a certain hepatic pathology and pulmonary tu- berculosis which may be a predisposing factor to the effusion.