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KMID : 0363119920050020269
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Korean Journal of Pain
1992 Volume.5 No. 2 p.269 ~ p.272
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Pleural Effusion Followed by Multiple Intercostal Nerve Blocks in the Patient with Postherpetic Neuralgia
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Abstract
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We xperienced a case of pleural effusion while treating postherpetic neuralgia in a 70 year old male patient. The patient had scar and color change on the skin along the course f the right Th4-5 intercxostal nerve, characteristics of healed
herpes
zoster. The patient also complained of severe pain along the lesion site which made sleeping difficult. He had been treated with; epidural blocks with or without catheterization; epidural or regional corticosteroids; multiple intraspinal and
intercostal
blocks with local anesthetic; or neurolytic, alcohol, transcutaneous electrical nerve stimulation; etc.. for about six months by the time of pleural effusion development. We came to the conclusion that the effusion was due to pleural irritation
by
multiple intercostal nerve blocks, because it was bloody and developed on the affected right side, although the patient had a history of a certain hepatic pathology and pulmonary tuberculosis which may be a predisposing factor to the effusion.
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