Improvement of Spinal Central Pain by Brachial Plexus Block: A case report.
10.3344/kjp.2006.19.2.241
- Author:
Ok Sun KIM
1
;
Woo Yong LEE
;
Byung Hoon YOO
;
Yun Hee LIM
;
Seung Oh KIM
Author Information
1. Department of Anesthesiology and Pain Medicine, Sanggye Paik Hospital, college of Medicine, Inje University, Seoul, Korea. zxcv456@hanmail.net
- Publication Type:Case Report
- Keywords:
brachial plexus block;
central pain;
syringomyelia
- MeSH:
Arm;
Arnold-Chiari Malformation;
Brachial Plexus*;
Burns;
Central Nervous System;
Chronic Pain;
Decompression;
Foramen Magnum;
Hyperalgesia;
Oral Medicine;
Shoulder Pain;
Syringomyelia
- From:The Korean Journal of Pain
2006;19(2):241-243
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Central pain is defined as pain associated with lesions of the central nervous system, and is among the most intractable of chronic pain syndromes. A 47 year-old-female, who had right arm and shoulder pain, was diagnosed with syringomyelia of the Arnold Chiari malformation type I and received foramen magnum decompression and a syringo-subarachnoid shunt. After the operation, the evoked pain was improved, but she complained of a continuous burning pain, coupled with cold and tactile allodynia. This symptom failed to fully subside on administration of oral medicine; therefore, brachial plexus block was performed, which relieved her pain transiently. Through repeated trials, a gradual decrease in the pain intensity and frequency was found. However, the way in which brachial plexus block improves spinal central pain is not completely known.
