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Treatment of a Twelfth Rib Syndrome : A case report

Choi JB, Yoon KB, Kim WO, Yoon DM

Twelfth rib syndrome is thought to be due to intercostal nerve irritation by a mobile twelfth rib, and presents with upper abdominal pain, or low thoracic pain. This syndrome appears...
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Implantable Intrathecal Drug Delivery Pump in Complex Regional Pain Syndrome Patient : A case report

Seo KS, Han KR, Kim SY, Park KE, Kim C

Implantable intrathecal pump is one of the therapeutic options for intractable pain. A 24-year-old male with complex regional pain syndrome was suffering from right lower extremity pain. He had all...
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The Effect of Thalidomide on Entero-Behcet's Disease

Kim JH, Nam V, Moon HS, Kim JO, Sung CH

Behcet's disease is a chronic relapsing vasculitis characterized by recurrent aphthous oral and genital ulcers with uveitis. Multiple organs can be involved. Entero-Behcet's disease is often uncontrollable, relapsing, and can...
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Cervicogenic Headache from Skull Base Osteomyelitis : A case report

Jeong HJ, Nam SK, Song IA, Lee SC, Kim YC

Skull base osteomyelitis is a rare but life-threatening complication of inflammation of the ear. The authors present a case of skull base osteomyelitis of unknown etiology in a non-diabetic patient...
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Experience with Spinal Cord Stimulation for Treating Intractable Penile Pain after Partial Neurectomy of the Dorsal Penile Nerve

Kim NH, Han KR, Park KE, Kim NS, Kim C, Kim SY

Neuroablation should be performed cautiously because neuropathic pain can occur following denervation of a somatic nerve. A 34-year-old man presented with severe penile pain and allodynia following a selective neurectomy...
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The Effectiveness of a Three Phase Bone Scan for Making the Diagnosis of Complex Regional Pain Syndrome

Kim NS, Park KE, Kim SY, Chae YJ, Kim C, Han KR

BACKGROUND: Complex regional pain syndrome (CRPS) is still difficult to diagnose in the field of chronic pain management. CRPS is diagnosed by purely clinical criteria based on the characteristic signs...
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A Ganglion Cyst around the Tarsal Tunnel Detected by Ultrasonography and MRI : A case report

Park SY, Nahm FS, An SB, Kim YC, Lee SC

Tarsal tunnel syndrome is often misdiagnosed it shares clinical features with other diseases of the lower extremity such as lumbar radiculopathy and arthritis. Failure to diagnose and treat neuropathies effectively...
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Implantation of an Intrathecal Drug Administration System : A report of two cases

Lee SJ, Nam SK, Kim JH, Kim HJ, Lee SC, Kim YC

Opioids profoundly inhibit evoked discharges of spinal nociceptive neurons, thereby inhibiting the transmission of pain. Intrathecal administration of opioids using implantable continuous infusion systems is an effective method of pain...
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Ultrasound Guided both Obturator Nerve Block for Patient with Adductor Thigh Muscle Spasm : A case report

Kwon TM, Kim HJ, Moon JY, Suh JH, Lee PB

Obturator nerve block has been used for analgesia of hip pain, relaxation of adductor muscle spasm related to cerebral palsy or paraplegia and in urologic surgery to prevent inadvertent obturator...
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Historical Changes of Extruded Lumbar Intervertebral Disc : A case report

Park JG, Kwon WA

We studied the historical changes of intervertebral disc displacement using magnetic resonance imaging. The phenomenon of the spontaneous regression of herniated discs is well known. The case of a 40-years-old...
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Cognitive Assessment in Complex Regional Pain Syndrome Patients

Moon JY, Kim YC, Park MJ, Lee PB, Lee SC, Kang DH, Shin MS, Kwon TM

BACKGROUND: Complex regional pain syndrome (CRPS) is characterized by severe neuropathic pain and disability, which can result in psychological and behavioral dysfunction. The goal of the present study was to...
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Glial Mechanisms of Neuropathic Pain and Emerging Interventions

Jo D, Chapman CR, Light AR

Neuropathic pain is often refractory to intervention because of the complex etiology and an incomplete understanding of the mechanisms behind this type of pain. Glial cells, specifically microglia and astrocytes,...
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Experience of Epidural Steroids in Transverse Myelitis : A case report

Nam V, Mun HS, Kim JH, Kim DS, Sung CH

Transverse myelitis is a focal inflammatory disorder of the spinal cord characterized by motor, sensory, and autonomic dysfunction. A 41-year-old man with transverse myelitis and no pre-existing neurologic disease presented...
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Accidental Subdural Injection during Attempted Cervical Epidural Block: Radiologic Evidence : A case report

Ko HH, Kim JS, Lee JJ, Hwang SM, Lim SY

Case reports after accidental subdural injection during attempted epidural block have usually described extensive neuraxial blocks with a characteristic radiographic appearance on contrast injection. We experienced a case of cervical...
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Analysis of Intravascular Flow Patterns following Cervical Transforaminal Epidural Injection

Hwang SJ, Han KR, Kim SY, Kim NS, Kim C

BACKGROUND: Transforaminal epidural injection (TEI) may be useful to treat unilateral pain that has a dermatomal distribution. In this approach, the needle tip can be placed closer to the dorsal...
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An Analysis of the Surface Anatomical Location of the Posterior-inferior Margin of the Sacroiliac Joint

Cho KY, Kim BS, Kim WO, Yoon DM, Yoon KB

BACKGROUND: The blind sacroiliac joint (SIJ) block cannot always be performed accurately; it is commonly performed in the office based setting because intraarticular and periarticular injections are effective for SIJ...
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The Antiallodynic Effect and the Change of the alpha2 Adrenergic Receptor Subtype mRNA Expression by Morphine Administration in a Spinal Nerve Ligation Rat Model

Chung KY, Shin SW, Kwon SA, Kim TK, Baek SH, Baik SW

BACKGROUND: The neuropathic pain arising from nerve injury is difficult to treat and the therapeutic effects of opioid drugs remain debatable. Agonists acting at the alpha2 adrenergic and opioid receptors...
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The Antiallodynic Effects of Intrathecal Zaprinast in Rats with Chronic Constriction Injury of the Sciatic Nerve

Lee JD, Jun IG, Choi YS, Im SH, Park JY

BACKGROUND: Zaprinast is an inhibitor of phosphodiesterase 5, 6 and 9. Phosphodiesterase inhibitors could produce anti-nociceptive effects by promoting the accumulation of cGMP. We hypothesized that intrathecal zaprinast could attenuate...
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The Effect of a Target Controlled Infusion of Low-Concentration Ketamine on the Heart Rate Variability of Normal Volunteers

Jung JY, Lee JH, Lee JS, Kim YI

BACKGROUND: Ketamine has an indirect sympathetic stimulation effect. We investigated heart rate variability (HRV) as a marker of cardiac autonomic function after a target controlled infusion (TCI) of ketamine with...
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Magnesium Sulfate Attenuate Opioid Tolerance in Patients undergoing Major Abdominal Surgery

Jang MS, Son Y, Lee C, Lee JH, Park JH, Lee MJ

BACKGROUND: Magnesium is a noncompetitive antagonist of the N-methyl-D-aspartate (NMDA) receptor. Magnesium is thought to be involved in opioid tolerance by way of inhibiting calcium entry into cells. METHODS: The patients...
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