Wang Shengtao, Zhu Yangzi
Department of Pain, Shandong Provincial Hospital Affiliated to Shandong University, Jinan Department of Anesthesiology, Xuzhou Central Hospital, Xuzhou, PR China.
Medicine (Baltimore). 2017 Feb;96(6):e6044. doi: 10.1097/MD.0000000000006044.
Stellate ganglion blocks have been shown to provide effective pain relief in a number of different conditions, but no one had reported stellate ganglion blocks for the treatment of epileptic pain. We describe a case report of the successful use of stellate ganglion block in the treatment of epileptic pain in the patient.
A 8-year-old girl who had experienced severe paroxysmal pain in her right upper limb.
She was diagnosed as drug-resistant partial epilepsy.
The patient received stellate ganglion blocks with lidocaine for 2 courses with 2 weeks in a course of treatment and oral carbamazepine once a day.
Carbamazepine dosage gradually tapered until stop and epileptic pain attacks become less and less, eventually disappear.
Stellate ganglion block may be an effective treatment of intractable partial epilepsy. However, more research is now needed to verify the validity.
星状神经节阻滞已被证明在多种不同病症中能有效缓解疼痛，但此前无人报告过用星状神经节阻滞治疗癫痫性疼痛。我们描述了一例成功使用星状神经节阻滞治疗患者癫痫性疼痛的病例报告。
一名8岁女孩，右上肢曾经历严重的阵发性疼痛。
她被诊断为耐药性部分性癫痫。
患者接受利多卡因星状神经节阻滞，共2个疗程，每个疗程2周，同时每天口服一次卡马西平。
卡马西平剂量逐渐减少直至停用，癫痫性疼痛发作越来越少，最终消失。
星状神经节阻滞可能是治疗难治性部分性癫痫的一种有效方法。然而，目前需要更多研究来验证其有效性。
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