| Ultrasoud Guided Transverse Abdomins Plane Block for Postherptic Neuralgia |
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Suk Ju Cho, Su Wan Kim, Sang Ah Lee, Jae Hun Kim |
1Department of Anesthesiology and Pain Medicine, Jeju National University Hospital, Jeju National University School of Medicine, Jeju, Korea.
2Department of Thoracic and Cardiovascular Surgery, Jeju National University Hospital, Jeju National University School of Medicine, Jeju, Korea.
3Department of Internal Medicine, Jeju National University Hospital, Jeju National University School of Medicine, Jeju, Korea.
4Department of Anesthesiology and Pain Medicine, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Korea. painfree@kuh.ac.kr |
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| Abstract |
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A 71-year-old man visited our clinic for severe pain in his right T11 dermatome caused by postherpetic neuralgia (PHN) that had persisted for 10 months. Several medications and interventions, including epidural or nerve root blocks, had been used in attempts to relieve his pain. Although the pain improved, the localized allodynia persisted in the anterior abdominal wall. A transversus abdominis plane block was performed between the internal oblique and transversus abdominis muscles, resulting in satisfactory and sustained analgesia. Such blocks might be a useful treatment option for pain management in cases of acute herpes zoster and PHN. |
| Key Words:
Abdominal muscles, Herpes zoster, Nerve block, Postherpetic neuralgia, Ultrasonography |
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