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논문 기본 정보

자료유형
학술저널
저자정보
저널정보
대한통증학회 The Korean Journal of Pain The Korean Journal of Pain 제16권 제2호
발행연도
2003.1
수록면
262 - 266 (5page)

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=A Case of Total Spinal Anesthesia for Treatment of Phantom Limb PainA case report Bum Soo Cheon, M.D., Kyung Ream Han, M.D., Jin Soo Kim, M.D.,Yeui Seok Kim, M.D., and Chan Kim, M.D.Neuro-Pain Clinic, Department of Anesthesiology, College of Medicine, Ajou University, Suwon, KoreaTotal spinal anesthesia (TSA) has been used for the treatment of intractable pain. Its clinical use has gradually decreased, as other neuromodulative techniques, such as nerve blocks under the fluoroscopy, radiofrequency thermocoagulation lesioning and neurostimulations, have been developed. However, TSA is an easy, lesser complicated and reversible procedure, which can also be repeatedly performed. A 28-year-old man, who exhibited the signs and symptoms of phantom limb pain, following an above the knee amputation of the left leg, complained that he had felt paroxysmal electric shock-like pain and tingling, squeezing, folding and distortion of his missing ankle and foot. The previously described symptoms were decreased by 60 70% of the pretreatment state, with for weeks of continuous epidural block and the addition of ketamine, lumbar sympathetic ganglion block and medication. However, he felt an unpleasant sensation of his missing limb. Therefore, TSA was performed, and he no longer felt the unpleasant sensations of his missing limb, only mild pain in the stump region of his thigh.

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