利多卡因输注治疗难治性感觉异常性背痛1例报告

A Case Report of Refractory Notalgia Paresthetica Treated with Lidocaine Infusions.

作者信息

Chtompel Yaroslava, Eghtesadi Marzieh, Vargas-Schaffer Grisell

机构信息

Department of Anesthesiology and Chronic Pain Management, University Hospital of Montreal (CHUM), Montreal, QC, Canada.

Department of Chronic Pain and Headache Medicine, University Hospital of Montreal (CHUM), Montreal, QC, Canada.

出版信息

Am J Case Rep. 2017 Nov 20;18:1225-1228. doi: 10.12659/ajcr.905676.

DOI:10.12659/ajcr.905676

PMID:29151570

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5706387/

Abstract

BACKGROUND Notalgia paresthetica is a neuropathic condition that manifests as a chronic itch in the thoraco-dorsal region. It is often resistant to treatment, and specific guidelines for its management are lacking. As such, we present a treatment approach with intravenous lidocaine infusions. CASE REPORT The case involves a 50-year-old woman with spinal cord injury caused by an epidural abscess. The patient developed notalgia paresthetica and sublesional neuropathic pain following its drainage. In the course of her pain management, she was treated with intravenous lidocaine which resulted in profound relief of notalgia paresthetica. CONCLUSIONS Intravenous lidocaine was effective in relieving neuropathic itch in the patient case presented.

摘要

背景感觉异常性背痛是一种神经病变，表现为胸背部慢性瘙痒。它通常对治疗有抵抗性，且缺乏具体的管理指南。因此，我们提出一种静脉注射利多卡因的治疗方法。病例报告该病例为一名50岁女性，因硬膜外脓肿导致脊髓损伤。患者在脓肿引流后出现感觉异常性背痛和损伤部位以下的神经性疼痛。在疼痛管理过程中，她接受了静脉注射利多卡因治疗，结果感觉异常性背痛得到了显著缓解。结论静脉注射利多卡因对缓解本病例患者的神经性瘙痒有效。