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이해우(Hae Woo Lee),김종일(Jeng Il Kim),반종석(Jon 대한통증학회 1994 The Korean Journal of Pain Vol.7 No.2
Causaliga is a syndrome of sustained burning pain, allodynia and hyperpathia after a trau- matic nerve lesion, often combined with vasomotor and sudomotor dysfunction and later trophic changes. Various treatments of causalgia contain sympathetic blockade, sympathectomy, transcuta- neous electrical nerve stimulation, physical therapy, cryotherapy and psychotherapy. Repeated stellate ganglion blocks with 6ml of 0.25 bupivacaine provided good results for 2 patients. We recommand sympathetic blocks for treatment of causalgia.
성상신경절차단에 의한 전형적 편두통의 치료경험 - 증례보고 -
여상임(Sang Im Yeo),김종일(Jeng Il Kim),반종석(Jon 대한통증학회 1995 The Korean Journal of Pain Vol.8 No.1
We had undertaken a stellate ganglion block everyday for the treatment of a classic mi- graine patient who is a twenty seven a year old male. He had experienced a very severe and frequent attack two or three times a month for several years. After ten times of stel- late ganglion block, a headache attack occurred mildly. Seventeen times of stellate gangli- on block were undertaken totally. Now he feels better. The intensity and the frequency of headache attack are markedly decreased. The pathophysiology and theraphy of classic migraine are unclear. The mechanism of stellate ganglion block for classic migraine treatment is also unknown. However, we think the stellate ganglion block contributes the improvement of hypothalamic blood flow, the recovery of homeostasis, and the weakening of sympathetic overactivity.
알코올을 이용한 흉부교감신경절차단술에 대한 임상경험 및 합병증
권옥희(Ok Hee Kwon),김종일(Jeng Il Kim),반종석(Jon 대한통증학회 1995 The Korean Journal of Pain Vol.8 No.2
Percutaneous neurolysis of upper thoracic sympathetic ganglion was performed by simulta- neously injecting 3ml of pure alcohol into the T, and T; levels after testng with same amount of local anesthetics on the same sites. We experienced poor sympatholytic effect or intercostal neuritis and Horner's Syndrome as the result of complication of thoracic sympathetic ganglion block. In Case l, in spite of the good testing result, neurolytic block effect was poor. In Case 2, intercostal neuritis occurred, but neuralgia subsided within 3 weeks. In Case 3, Horners Syndrome occurred for 1 day. To increase the success rate of block and decrease the incidence of complications, good radio-opaque dye appearance and good test block effect should be obtained.