The Efficacy of Continuous Epidural Blockade with Ketamine and Local Anesthetics on Acute Herpes Zoster Pain: A case report.
10.4097/kjae.2003.45.5.664
- Author:
Ki Ung KIM
1
;
Sang Gon LEE
;
Jong Suk BAN
;
Byung Woo MIN
Author Information
1. Department of Anesthesiology and Pain Medicine, Fatima Hospital, Daegu, Korea. anescpr@dreamwiz.com
- Publication Type:Case Report
- Keywords:
epidural;
herpes zoster;
ketamine
- MeSH:
Anesthetics, Local*;
Bupivacaine;
Herpes Zoster*;
Humans;
Hyperalgesia;
Hyperesthesia;
Ketamine*;
N-Methylaspartate
- From:Korean Journal of Anesthesiology
2003;45(5):664-667
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The pain associated with acute herpes zoster is neuropathic. In this case report, we describe acute herpes zoster patients with severe pain, allodynia, and hyperesthesia over the T1 to T8 dermatomes. Patients received continuous epidural administration of ketamine at a dose of 20 mg with 0.125% bupivacaine at a dose of 110 ml for 2 days. Their acute herpes zoster pain was controlled without any sign of side effects. This case report, epidural blocks with ketamine, an antagonist of the N-methyl-D-aspartic acid receptor and bupivacaine effectively in treated acute herpes zoster pain, when applied soon after the onset of the acute phase of the disease.
