본문바로가기 주메뉴 바로가기 하위메뉴 바로가기

quickmenu

  • 의료진안내
  • 층별안내도
  • 오시는길
  • 진료안내
  • 증명서발급
  • 비급여항목
  • 김찬소식
  • 온라인상담

커뮤니티

  • 병원소식
  • 미디어 속의 김찬
  • 고객의 소리
  • 학술활동
  • 직원게시판

학술활동

Home_커뮤니티_학술활동

제목

Efficacy and safety of high concentration lidocaine for trigeminal nerve block in patients with trigeminal neuralgia

작성자명홍보팀
조회수932
등록일2014-08-06 오전 11:13:14
첨부파일

TN10%.pdf

저자 :K. R. Han,  C. Kim,  Y. J. Chae,  D. W. Kim

학술지 : International Journal of Clinical Practice

ISSN No. : Volume 62, Issue 2, pages 248–254, February 2008

 

SUMMARY
Aims:

Local anaesthetics, which act as neurolytics and Na+ channel blockers, havebeen used for disrupting the neural firings in certain neuropathic pain conditions. This study was undertaken to investigate the clinical outcome of trigeminal nerveblock with 10% lidocaine in the management of trigeminal neuralgia (TN).

 

Methods:
Thirty-five patients with primary TN received trigeminal nerve blocks with
10% lidocaine. Success was defined as complete pain relief or mild pain without
medication 1 day after the treatment. We followed the patients up every 2 months
assessing for pain recurrence, sensory changes and other complications for a total of 37–45 months (median 43 months).

 

Results: Twelve of the 35 patients
(34.3%) responded favourably to the treatment and were considered as success.
Eleven patients experienced complete pain relief and one could tolerate pain without medication 1 day after the blocks, which lasted for 3–172 weeks. Four
patients experienced mildly decreased sensation in the region of the face supplied by the nerve 1 day after the blocks; however, all recovered normal skin sensation in 6 months. There was neither allodynia nor other sensory discomfort. The pain intensity and current pain duration before treatment were significantly different between the two groups.

 

Conclusion: Trigeminal nerve block with high concentration lidocaine (10%) is capable of achieving an intermediate period of pain relief, particularly in patients with lower pain intensity and shorter pain duration prior to the procedure.

 

  • 대상포진
  • 삼차신경통
  • 목,허리디스크관절
  • 다한증
  • 하지정맥류