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KMID : 0363119950080010127
Korean Journal of Pain
1995 Volume.8 No. 1 p.127 ~ p.130
The Effect of Continuous Epidural Block for Herpes Zoster Opthalmicus
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Abstract
A 34 year old male patient visited to our neuro-pain clinic with symtoms of a left frontal headache, eyeball throbbing and occipital pain.
Two days after the first visit to our clinic. pain was aggrevated and the skin eruption appeared on the left forehead.
He was diagnosed as faving Herpes Zoster Opthalmicus (HZO). We performed stellate ganglion block (SGB), but pain did not subsid, So a continuous cervical epidural block was perfomed (CCEB) and it could relieve the pain promptly. In this case, VAS
(visual analogue scale) was diminished from 10 to 3 and the skin eruption was healed 24 days after the treatment with CCEB and SGB.
We experienced that CCEB is more effective rather than intermittent SGB in intractable HZO. CCEB should be considered to the treatment of choice in patients with HZO.
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