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KMID : 0980720150340020152
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Keimyung Medical Journal
2015 Volume.34 No. 2 p.152 ~ p.156
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Superficial Cervical Plexus Block for Acute Herpes Zoster at C3-4 Der
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:Park Ki-bum
저자없음:No authors listed
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Abstract
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A 50-year-old man visited our pain clinic due to acute herpes zoster with rash occurred 10 days ago. The crusts formed and covered left C3-4 dermatome. Neuroaxial block was worried about infection. Superficial cervical plexus block (SCPB) was performed at left C4 level twice for a month with 1% lidocaine 20 mL and triamcinolone 20 mg. After SCPB, pain and itching were reduced and the patient could sleep at night without awakening. But pregabaline 150 ㎎/day was kept due to
mild to moderate pain and itching 7 months later from rash. In this case, SCPB was effective method to reduce acute pain and itching but it could not prevent postherpetic neuralgia.
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KEYWORD
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Cervical plexus, Herpes zoster, Nerve block, Postherpetic neuralgia
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