The Korean Journal of Pain

The Korean Pain Society (대한통증학회)
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Epidural Neurolysis with Phenol in Postherpetic Neuragia

대상포진후 신경통에 적용한 경막외 Phenol 주입법

  • Moon, Bong-Ki (Department of Anesthesiology, Aju Vniversity College of Medicine) ;
  • Seo, Young-Sun (Department of Anesthesiology, Aju Vniversity College of Medicine) ;
  • Yoon, Duck-Mi (Pain Clinic, Department of Anesthesiology, Yonsei University College of Medicine) ;
  • Oh, Hung-Kun (Pain Clinic, Department of Anesthesiology, Yonsei University College of Medicine) ;
  • Lee, Suk-Kun (Pain Clinic, Department of Anesthesiology, Yonsei University College of Medicine)
  • 문봉기 (아주대학교 의과대학 마취과학교실) ;
  • 서영선 (아주대학교 의과대학 마취과학교실) ;
  • 윤덕미 (연세대학교 의과대학 마취과학교실 통증치료실) ;
  • 오흥근 (연세대학교 의과대학 마취과학교실 통증치료실) ;
  • 이석균 (연세대학교 의과대학 마취과학교실 통증치료실)
  • Published : 1994.11.26
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Abstract

Postherpetic neuralgia is one of the most troublesome disease in pain clinic. Nine patients who suffered from postherpetic neuralgia for 1.5 to 8 month, has been treated with the epidural block for prognostic or therapeutic purpose. Epidural catheter was inserted as close to the involved neural roots as possible, and tip of epidural catheter was confirmed under fluroscopic guide. Epidural neurolysis was performed out intermittent injection of 1~3 ml of 6% phenol in saline and repeated 2~6 times over one or 7 days interval. Two patients reported satisfactory pain relief and 3 patients reported some pain relief. But 4 patients unchanged after phenol block. The overall duration of pain relief was not studied. Validity and safety of epidural phenol block was not confined. Further study will be necessary before application of epidural phenol block to postherpetic neuralgia.

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