Spinal Myoclonus Developed during Cervical Epidural Drug Infusion in Postherpetic Neuralgia Patient.
10.3344/kjp.2011.24.3.169
- Author:
Younghoon JEON
;
Sung Uk BAEK
;
Jin Seok YEO
- Publication Type:Case Report
- Keywords:
analgesia;
complication;
epidural;
myoclonus
- MeSH:
Amides;
Analgesia;
Herpes Zoster;
Humans;
Ketamine;
Morphine;
Myoclonus;
Neuralgia;
Neuralgia, Postherpetic;
Punctures
- From:The Korean Journal of Pain
2011;24(3):169-171
- CountryRepublic of Korea
- Language:English
-
Abstract:
Postherpetic neuralgia is the most frequent complication of herpes zoster. Treatment of this neuropathic pain syndrome is difficult and often disappointing. Although postherpetic neuralgia is generally a self-limited condition, it can last indefinitely. Continuous epidural blockade for patients with acute zoster can shorten the duration of treatment. However, continuous epidural block has some complications such as infection, dural puncture, and total spinal and nerve damages. We report a case of myoclonus during continuous epidural block with ropivacaine, morphine, and ketamine in an acute zoster patient.
