Wen Jie Mak, Gn Ying Mao, Kar Mun Tham
Anaesthesiology, Sengkang General Hospital, Singapore, SGP.
Anaesthesiology, Singapore General Hospital, Singapore, SGP.
Cureus. 2024 Sep 4;16(9):e68668. doi: 10.7759/cureus.68668. eCollection 2024 Sep.
Radiotherapy-induced brachial plexopathy (RIBP) is a rare but debilitating complication of breast cancer treatment. There is limited information available on the effective treatments for this condition. We present the case of a 68-year-old female with well-controlled schizophrenia and a history of breast cancer who was referred to our pain management clinic for dysesthesia in the left upper limb secondary to RIBP. The patient exhibited a remarkable response to intravenous (IV) lidocaine infusion, with near-complete resolution of her symptoms. This case highlights the potential of IV lidocaine infusion as a valuable component of a multimodal strategy for managing RIBP.
放射治疗引起的臂丛神经病变（RIBP）是乳腺癌治疗中一种罕见但使人衰弱的并发症。关于这种病症的有效治疗方法，可用信息有限。我们报告了一例68岁女性患者，她患有控制良好的精神分裂症且有乳腺癌病史，因RIBP继发左上肢感觉异常而被转诊至我们的疼痛管理诊所。该患者对静脉注射利多卡因表现出显著反应，症状几乎完全缓解。这个病例凸显了静脉注射利多卡因作为管理RIBP多模式策略的一个有价值组成部分的潜力。
