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KMID : 0356919960300040498
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Korean Journal of Anesthesiology
1996 Volume.30 No. 4 p.498 ~ p.501
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Lumbar Sympathetic Block for the Pain Management of Diabetic Neuropathy -A case report-
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Abstract
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Involvement of the peripheral nervous system by diabetes is referred to as diabetic neuropathy. The frequency of diabetic neuropathy ranges from 5% to 60% and the pain management is one of the greatest problem. The patients was a 57-year-old man
who has
been treated with diabetes(DM type IIa)for about 12years. The symmetrical pain, swelling and sensory loss on feet were started 3 months before admission and the burning pain was intensified at with resultant insomnia. The systoms were aggravated
1
mont
ago and they were not relived by any medication and physical therapy. We attempted lumbar epidural block to the patient and the result was good. So we performed a permanent lumbar sympathetic ganglion block with neurolytics(99.9% alcohol) for the
long
term relief of pain. The patient was satisfied with the result of the block and discharged. (Korean J Anestheslol 1996; 30: 498~501)
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