J Korean Pain Soc.  1996 Nov;9(2):403-406.

High Spinal Block for Chronic Intractable Pain: A case report

• Jeong MH
• Hong JK
• Lee C
• Lee CS

Abstract

Total spinal block is use4 as. final choice for chronic intractable pain which doesn't respond to other treatments. A 35 years old male patient was admitted, to pain clinic due to severe cramping and throbbing pain of whole body; especially left lateral side since 1980. The result of cervical and lumbar epidnral block was not good enough, so we decided to try total spinal block. At first, C7-Tl interspace was punctured and 2% mepivacaine 20ml was injected, but the result was not satisfied. Next day, L3-4 interspace was punctured and 1.5 % mepivacaine 40 ml was injected. The sensory block level was C6 and pain score on Visual Analog Scale, was changed from 9 to 4. In both trials, actually even though they were not complete total spinal block, the effect was good enough. If complete total spinal block had been accomplished, better result might be obtained in this chronic intractable pain

Keyword

Anesthetic technique: spinal; Pain: chronic intractable

MeSH Terms

Adult
Humans
Male
Mepivacaine
Muscle Cramp
Pain Clinics
Pain, Intractable*
Visual Analog Scale
Mepivacaine