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후관절 관절증으로 인한 요통 및 좌골신경통에 대한 후관절강내 차단
반종석(Jong Seok Ban),고준석(Jeon Seock),민병우(By 대한통증학회 1989 The Korean Journal of Pain Vol.2 No.2
N/A An intra-articular lumbar facet joint block with a local anesthetic and asteroid is a reliable method of diagnosis and therapy for low back pain and/or sciatica caused by lumbar facet arthropathy under fluoroscopy. We injected 40 mg of methylperdnisolone acetate and 1 ml of 0.5% bupivacaine into each lumbar facet joint to 14 patients. The results are as follows: 1) Excellent pain relief in 2 patients (14.29%) 2) Good pain relief in 6 patients (42.85%) 3) Fair pain relief in 4 patients (28.57%) 4) Non effective pain relief in 2 patients (14.29%)
이지향(Ji Hyang Lee),김종일(Jeng Il Kim),민병우(By 대한통증학회 1997 The Korean Journal of Pain Vol.10 No.2
Persistent hiccup is defined as duration lasting longer than 48 hours. Reflex arc of hiccup is divided into three parts: afferent, central, efferent. Afferent portion of the neural pathway of hiccup formation is composed of vagus nerve, phrenic nerve, and sympathetic chain arising from T6 to T12. Efferent limb is phrenic nerve. Hiccup center is located in brain stem, midbrain, reticular system and hypothalamus. Persistent hiccup is very difficult to treat by conventional methods. We performed cervical epidural block of the phrenic nerve root for three patients suffering from persistent hiccup. The therapeutic effect was perfect. The mechanism of the cervical epidural block is not yet defined however it is thought to block the efferent nerve fibers and suppress the reflex arc of hiccup. We conclude cervical epidural block is relatively safe and very effective for treating persistent hiccup.
이규종(Kyu Jong Lee),김종일(Jeng Il Kim),민병우(By 대한통증학회 1996 The Korean Journal of Pain Vol.9 No.1
Thoracic sympathetic nerve block has a wide range of therapeutic applications which clini- cians utilize neurolytics or perform operative sympathectomy. All methods have advantages and disadvantages. We performed thoracic sympathetic ganglion cauterization using resectoscope as it is less invasive and more effective than traditional operative methods. Successful procedures were performed involving 2 cases of idiopathic hyperhidrosis and I case of sympathetically main- tained pain on chest and upper extremity. We experienced failure with one case of idiopathic hyperhidrosis due to severe pleural adhesion. There was also a case of complication of periganglional hemorrhage and parenchy- mal lung perforation which we successfully treated.