The Korean Journal of Pain

The Korean Pain Society (대한통증학회)
권호 표지

Dysaesthesia of Inguinal Area Following Splanchnic Nerve Block with Alcohol

내장 신경 차단후 합병된 양측 서혜부의 지각 탈실

  • Lee, Ja-Won (Department of Anesthesiology, Yonsei University College of Medicine) ;
  • Yoon, Duck-Mi (Department of Anesthesiology, Yonsei University College of Medicine) ;
  • Oh, Hung-Kun (Department of Anesthesiology, Yonsei University College of Medicine)
  • 이자원 (연세대학교 의과대학 마취과학교실) ;
  • 윤덕미 (연세대학교 의과대학 마취과학교실) ;
  • 오흥근 (연세대학교 의과대학 마취과학교실)
  • Published : 1994.05.30
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Abstract

Neurolytic splanchnic nerve block is effective for treatment of intractable upper abdominal cancer in. The possibility of neurologic complication cannot be completely precluded. A 53 year-old female patient with hepatoma and lung metastasis was submitted for splanchnic nerve block with alcohol. Splanchnic nerve block was performed under radiologic control by image intensifier without any difficulty during procedure. One day after the block, she complained of numbness with sensory deficit in bilateral inguinal area. Neurologic examination revealed that asymmetrical anesthesia, hypoesthesia at $T_{12}-L_2$. She was discharged 70 days after the block with partial improvement. The possibility of alcohol spreading to the low theracic and upper lumbar somatic nerves cannot be excluded.

무수 알코올로 내장신경차단 완료후 양측 서혜부 상하의 지각 탈실, 이상감감이 합병되었다, 차단 6일 후부터 지속적 경막외차단을 시작하여 점차 이상감각 및 통증은 조절되었으며 지각탈실 부위도 점차 축소되었다.

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