Treatment of herpes zoster with ultrasound-guided superficial cervical plexus block
이혜림, 전영훈,
소속 상세정보
이혜림 ( Lee Hye-Rim ) - Kyungpook National University Hospital Department of Anesthesiology and Pain Medicine
전영훈 ( Jeon Young-Hoon ) - Kyungpook National University School of Dentistry Department of Anesthesiology and Pain Medicine
KMID : 0980320150150040247
Abstract
Herpes zoster most commonly occurs in elderly patients, and usually affects sensory neurons. Therefore, its characteristic symptoms are segmental pain, itching, and sensory changes in the affected areas. A 71-yr-old woman experienced painful herpetic rash on the right cervical 2?4 dermatomes for 16 days. Two days after the onset of the rash, she was diagnosed with herpes zoster, and prescribed 250 mg famciclovir three times a day for 7 days, pregabalin 150 mg twice a day, and tramadol 150 mg once a day for 14 days, by a dermatologist. Despite medication, her pain was rated at an intensity of 6/10 on the numeric rating scale. In addition, she complained of severe itching sensation on the affected dermatomes. Superficial cervical plexus block (SCPB) was performed at the right C4 level with 15 ml 0.5% lidocaine plus triamcinolone 30 mg. Five days after the procedure, pain and itching completely disappeared. SCPB may be an effective option for the treatment of acute pain and itching arising from herpes zoster, and for the prevention of postherpetic neuralgia.
키워드
Herpes zoster; Itching; Pain; Superficial cervical plexus
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