CAJ | 학술논문

70岁男性,3月前带状疱疹后右侧臀部及下肢剧烈疼痛,并逐渐出现右侧臀部及下肢冰冷感、发汗障碍,伴肌肉萎缩及活动受限;经口服加巴喷丁、椎管内持续输注镇痛及神经阻滞治疗,症状缓解不明显,诊断为带状疱疹后遗痛合并复杂性区域疼痛综合征.采用右侧腰交感神经节化学毁损治疗,疼痛显著缓解、下肢温度回升、肌肉萎缩及无力症状逐渐改善.
70세남성,3월전대상포진후우측둔부급하지극렬동통,병축점출현우측둔부급하지빙랭감、발한장애,반기육위축급활동수한;경구복가파분정、추관내지속수주진통급신경조체치료,증상완해불명현,진단위대상포진후유통합병복잡성구역동통종합정.채용우측요교감신경절화학훼손치료,동통현저완해、하지온도회승、기육위축급무력증상축점개선.
One patient suffered from a severe pain of right hip and low extremity after herpes zoster affected three month ago, gradually felt ice-cold , sweating abnormality, combined with muscle dystrophy and limited activity in the same area.Treatments including gabapentin, sustaining epidural drug infusion, and nerve blockade were not effective.After postherpetic neuralgia (PHN) and complex regional pain syndrome (CRPS) was diagnosed, we perfomed the interventional therapy on his right lumbar sympathetic ganglion chemical lesion.After the procedure, the feelings of pain and ice-cold were relieved dramatically, and muscle dystrophy and motor activity were gradually improved.