Keimyung Med J.  2015 Dec;34(2):152-156. 10.0000/kmj.2015.34.2.152.

Superficial Cervical Plexus Block for Acute Herpes Zoster at C3-4 Dermatome

• Park KB

• KMID: 2224179
• DOI: http://doi.org/10.0000/kmj.2015.34.2.152

Abstract

A 50-year-old man visited our pain clinic due to acute herpes zoster with rash occurred 10 days ago. The crusts formed and covered left C3-4 dermatome. Neuroaxial block was worried about infection. Superficial cervical plexus block (SCPB) was performed at left C4 level twice for a month with 1% lidocaine 20 mL and triamcinolone 20 mg. After SCPB, pain and itching were reduced and the patient could sleep at night without awakening. But pregabaline 150 /day was kept due to mild to moderate pain and itching 7 months later from rash. In this case, SCPB was effective method to reduce acute pain and itching but it could not prevent postherpetic neuralgia.

Keyword

Cervical plexus; Herpes zoster; Nerve block; Postherpetic neuralgia

MeSH Terms

Acute Pain
Cervical Plexus*
Exanthema
Herpes Zoster*
Humans
Lidocaine
Middle Aged
Nerve Block
Neuralgia, Postherpetic
Pain Clinics
Pruritus
Triamcinolone
Lidocaine
Triamcinolone