외상성 신경병증 환자의 치험례

• 영문명: A CASE REPORT OF TRAUMATIC NEUROPATHIC PAIN PATIENT
• 발행기관: 대한구강악안면외과학회
• 저자명: 최문기(Moon-Gi Choi)
• 간행물 정보: 『대한구강악안면외과학회지』대한구강악안면회과학회지 제34권 제2호, 200~206쪽, 전체 7쪽
• 주제분류: 의약학 > 내과학
• 파일형태: PDF
• 발행일자: 2009.04.30

영문 초록

A variety of mechanisms may generate pain resulting from injury to the peripheral nervous system. None of these mechanisms is disease-specific, and several different pain mechanisms may be present simultaneously in any one patient. Diagnosis of neuropathic pain is often easily made from the information gathered on neurologic examination and from patient history. Evidence of sensory disturbances elicited by examination combined with laboratory tests confirming injury to peripheral nerve establishes the diagnosis of neuropathic pain. Although treatment of neuropathic pain may be difficult, optimum treatment can be achieved if dentist has a complete understanding of the therapeutic options. Pharmacologic therapy has been the mainstay of treatment. Selection of an appropriate pharmacologic agent is by trial and error since individual response to different agents, doses, and serum level are highly variable. An adequate trial for each agent tried is key to pharmacologic treatment of neuripathic pain. If pharmacologic treatment is not effective, nerve block using lidocaine, steroid and alcohol and neurectomy must be considered for treatment option.

키워드

Neuropathic pain Pharmacologic treatment Neurctomy