Waghray Shefali, Asif Shaik Mohammed, Duddu Mahesh Kumar, Arakeri Gururaj
Department of Oral Medicine and Radiology, Panineeya Mahavidhyalaya Institute of Dental Sciences and Research Centre, Hyderabad, Andhra Pradesh, India.
Department of Maxillo Facial Diagnostic Sciences, College of Dentistry, King Khalid University, Abha, Saudi Arabia.
Eur J Dent. 2013 Sep;7(Suppl 1):S105-10. doi: 10.4103/1305-7456.119086.
The sudden, stabbing, paroxysmal pain of neuralgia is the fiercest agony that a patient may experience in his life. Many varied medical treatments and surgical procedures have been suggested in the literature for neuralgic pain. Most of the patients fail to respond to medical treatments or succumb to complications of total anesthesia owing to surgical procedures. Herein, we tried a new treatment modality in patients suffering from postherpetic neuralgia with appreciable success in all the three cases that are presented in this paper. Streptomycin sulfate dissolved in 2% lidocaine solution was deposited at the peripheral branches on the involved nerves targeting the trigger zones, given weekly once for a maximum of 6 week period and continued once in 2 weeks if symptoms persisted. All patients were followed-up for 1 year and there was a marked improvement on follow-up.
神经痛突然发作的刺痛、阵发性疼痛是患者一生中可能经历的最剧烈的痛苦。文献中针对神经痛提出了许多不同的医学治疗方法和外科手术。大多数患者对医学治疗无反应,或因外科手术而死于全身麻醉的并发症。在此,我们对患有带状疱疹后神经痛的患者尝试了一种新的治疗方式,本文所呈现的3例患者均取得了显著成功。将硫酸链霉素溶解于2%利多卡因溶液中,注射到受累神经的外周分支上的触发区,每周注射1次,最多注射6周;如果症状持续,则每2周注射1次。所有患者均随访1年,随访时病情有显著改善。