Managing severe pains that persist - abstract
West Indian med. j
; West Indian med. j;40(suppl.1): 57, Apr. 1991.
Article
em En
| MedCarib
| ID: med-5544
Biblioteca responsável:
JM3.1
Localização: JM3.1; R18.W4
ABSTRACT
One of the commonest examples of severe pain that persists long after the injury or disease initiating it has ceased to be active is the neuralgia complicating herpes-zoster. A large variety of treatments have been used to treat acute herpetic and post-herpetic neuralgia, with disappointing results. The treatment of choice should have a low risk of damaging the patient and should relieve acute herpetic neuralgia of all grades of severity, prevent post-herpetic neuralgia and effectively relieve neuralgia at all sites in all patients. In this study, 40 patients with acute herpetic neuralgia and 15 patients with post-herpetic neuralgia were treated with sympathetic blocks (SB). It was possible to follow up 30 (66.6 percent) of the patients with neuralgia treated in the acute stage and 12 (80 percent) of the patients with post-herpetic neuralgia for one or more years after treatment. Effective and permanent relief was achieved in all patients if SBs were given within 3 weeks of the onset of the neuralgia in the acute stage of the disease. In patients with post-herpetic neuralgia of 6 months' duration or less, SBs gave complete relief to 41.6 percent and partial relief to 41.7 percent. The results of this study justify the conclusion that SBs satisfy the criteria necessary for treating acute herpetic neuralgia effectively. The rate of success of SBs in treating post-herpetic neuralgia is high enough to make them the preferred method of treatment in this neuralgia (AU)
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Coleções:
01-internacional
Base de dados:
MedCarib
Assunto principal:
Bloqueio Nervoso Autônomo
/
Neuralgia
Limite:
Humans
Idioma:
En
Revista:
West Indian med. j
Ano de publicação:
1991
Tipo de documento:
Article
/
Congress and conference