[Treatment with stellate ganglion block, continuous epidural block and ulnar nerve block of a patient with postherpetic neuralgia who developed complex regional pain syndrome (CRPS)].
We present a case of a 46-year-old female patient with systemic lupus erythematosus who developed herpes zoster of the right eighth cervical nerve. Her whole right forearm, hand and the first through fifth fingers were coated with some gel and protected against pain. She had been suffering from continuous and spasmodic burning pain, hyperalgesia, allodynia, drop in skin temperature, sudmotor disturbance, edema, constructure of the joints, muscle atrophy and bone atrophy of her right upper extremity probably due to postherpetic neuralgia (PHN) associated with complex regional pain syndrome (CRPS). She received right stellate ganglion block (SGB), continuous cervical epidural block and right ulnar nerve block. Reduction of pain and edema as well as improvement in mobility of each joint of her right upper extremity was observed. We suspect that SGB, continuous cervical epidural block and ulnar nerve block are effective and useful alternative treatments in a patient with PHN associated with CRPS of the eighth cervical nerve.
Mizuno
J
J
Department of Anesthesia, Kochi Prefectural Aki Hospital, Aki 784-0027.
Sugimoto
S
S
Ikeda
M
M
Kamakura
T
T
Machida
K
K
Kusume
S
S
D015360:Analgesia, Epidural / Q000379:methods; D001340:Autonomic Nerve Block; D020918:Complex Regional Pain Syndromes / Q000209:etiology / Q000628:therapy*; D005260:Female; D006562:Herpes Zoster / Q000503:physiopathology; D006801:Humans; D008875:Middle Aged; D009407:Nerve Block; D009437:Neuralgia / Q000150:complications / Q000628:therapy*; D013233:Stellate Ganglion; D014459:Ulnar Nerve