title: Ultrasound-Guided Musculocutaneous Nerve Block in Postherpetic Neuralgia.
abstract: Postherpetic neuralgia is a common and challenging complication of herpes zoster infection, particularly in older people. In recent decades, first-line treatments, including oral or topical medication, have become well established. However, few studies have reported the efficacy of interventional procedures for the treatment of postherpetic neuralgia. Here, the authors present a case of intractable postherpetic neuralgia treated with musculocutaneous peripheral nerve block under ultrasound guidance. Symptoms remained controlled at 1 mo follow-up. Ultrasound can be readily applied to improve the accuracy and efficiency of peripheral nerve block as it is currently widely used to evaluate the musculoskeletal system in clinical settings.
authors.affiliation: From the Department of Physical Medicine and Rehabilitation, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan (Y-CK, L-FH); School of Medicine, Fu Jen Catholic University, Taipei, Taiwan (L-FH); Department of Radiology, Taipei Veterans General Hospital, Taipei, Taiwan (H-JC); and School of Medicine, National Yang Ming University, National Defense Medical Center, Taipei, Taiwan (H-JC).
authors.forename: Ying-Chen
authors.initials: YC
authors.lastname: Kuo
authors.forename: Lin-Fen
authors.initials: LF
authors.lastname: Hsieh
authors.forename: Hong-Jen
authors.initials: HJ
authors.lastname: Chiou
mesh_terms: D000369:Aged, 80 and over; D000779:Anesthetics, Local / Q000008:administration & dosage; D005938:Glucocorticoids / Q000008:administration & dosage; D006801:Humans; D008012:Lidocaine / Q000008:administration & dosage; D008297:Male; D009138:Musculocutaneous Nerve / Q000000981:diagnostic imaging*; D009407:Nerve Block / Q000379:methods*; D051474:Neuralgia, Postherpetic / Q000628:therapy*; D014222:Triamcinolone Acetonide / Q000008:administration & dosage; D018084:Ultrasonography, Interventional
chemical_list: D000779:Anesthetics, Local; D005938:Glucocorticoids; D008012:Lidocaine; D014222:Triamcinolone Acetonide