Acute Pain Relief by Superficial Cervical Plexus Block in the Patient with Herpes Zoster

Hun Woo Choi, M. Kim
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Abstract

Herpes zoster is a disease that causes a skin rash with blisters and extreme pain along mainly the unilateral dermatome. It often occurs in the thoracic nerve area, but can also occur in the cranial, cervical, and lumbar nerve areas. It is not clear that the interventions such as nerve block or subcutaneous local anesthetics result in a lower incidence of postherpetic neuralgia than the natural course of herpes zoster. However, the severity of acute pain is known as a risk factor for postherpetic neuralgia. There have been many studies on the epidural block or paravertebral block for acute pain control of herpes zoster, but superficial cervical plexus block has not been widely applied. We performed a superficial cervical plexus block to alleviate the acute pain of herpes zoster in the neck and obtained the expected result, so we present it with a literature review.
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浅颈神经丛阻滞对带状疱疹患者急性疼痛的缓解作用
带状疱疹是一种疾病,引起皮疹,水泡和剧烈疼痛,主要沿着单侧皮肤。它常发生在胸神经区,但也可发生在颅、颈、腰神经区。目前尚不清楚,干预措施,如神经阻滞或皮下局部麻醉,导致疱疹后神经痛的发生率低于自然过程的带状疱疹。然而,急性疼痛的严重程度被认为是带状疱疹后神经痛的危险因素。硬膜外阻滞或椎旁阻滞用于带状疱疹急性疼痛控制的研究较多,但浅颈神经丛阻滞尚未得到广泛应用。为了缓解颈部带状疱疹的急性疼痛,我们实施了颈部浅表神经丛阻滞术,并取得了预期的效果,因此我们进行了文献回顾。
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