이질통을 단일 증상으로 보인 급성 경추부 추간판 탈출증-증례보고- = Single Symptom of ‘Pure' Mechano-allodynia Secondary to Acute Herniated Cervical Disc-A case report-

다국어 초록 (Multilingual Abstract)

Allodynia is pain following a non-noxious stimuli which does not provoke pain normally and develops after incomplete spinal cord injury more commonly in cervical rather than thoracic level, and central cord syndrome. This article presents an unusual patient who presented with the single symptom of an intense allodynia after cervical intervertebral disc herniation. This 36-year-old male patient developed acute lancinating and burning pain aggravated by skimming light touch on both thenar area. Cervical magnetic resonance imaging (MRI) revealed central disc herniation and spinal cord compression. The allodynia secondary to acute herniated cervical disk has been successfully disappeared through pharmacotherapy with pulsed-use of steroid, gabapentin and comprehensive rehabilitation.

참고문헌 (Reference)

1 Haller H, "Treatment of chronic neuropathic pain after traumatic central cervical cord lesion with gabapentin" 110 : 977-981, 2003

2 Raymond D, "Transient cervical nerve root compression in the rat induces bilateral forepaw allodynia and spinal glial activation: mechanical factors in painful neck injuries" 30 : 1924-1932, 2005

3 Ahn SH, "Rehabilitation medicine, 1st ed in : Spinal pain" Hanmi Co,. Ltd. 907-965, 2007

4 Strakowski JA, "Physical medicine & rehabilitation, 2nd ed in : limb musculoskeletal pain syndromes" Saunders 792-817, 2000

5 Siddall PJ, "Pain report and the relationship of pain to physical factors in the first 6 months following spinal cord injury" 81 : 187-197, 1999

6 Mersky H, "Classification of chronic pain: descriptions of chronic pain syndromes and definitions of pain terms, 2nd ed" IASP Press 1994

7 Jabbari B, "Botulinum toxin a improved burning pain and allodynia in two patients with spinal cord pathology" 4 : 206-210, 2003

8 Tabo E, "Behavioral manifestations of neuropathic pain and mechanical allodynia, and changes in spinal dorsal horn neurons, following L4-6 dorsal root constriction" 80 : 503-520, 1999

9 Lee KE, "A novel rodent neck pain model of facet-mediated behavioral hypersensitivity: implications for persistent pain and whiplash injury" 137 : 151-159, 2004

10 Attal N, "A case of ‘pure' dynamic mechano-allodynia due to a lesion of the spinal cord: pathophysiological considerations" 75 : 399-404, 1998