Korean J Pain.  2011 Sep;24(3):169-171. 10.3344/kjp.2011.24.3.169.

Spinal Myoclonus Developed during Cervical Epidural Drug Infusion in Postherpetic Neuralgia Patient

• Jeon Y
• Baek SU
• Yeo JS

• KMID: 2278107
• DOI: http://doi.org/10.3344/kjp.2011.24.3.169

Abstract

Postherpetic neuralgia is the most frequent complication of herpes zoster. Treatment of this neuropathic pain syndrome is difficult and often disappointing. Although postherpetic neuralgia is generally a self-limited condition, it can last indefinitely. Continuous epidural blockade for patients with acute zoster can shorten the duration of treatment. However, continuous epidural block has some complications such as infection, dural puncture, and total spinal and nerve damages. We report a case of myoclonus during continuous epidural block with ropivacaine, morphine, and ketamine in an acute zoster patient.

Keyword

analgesia; complication; epidural; myoclonus

MeSH Terms

Amides
Analgesia
Herpes Zoster
Humans
Ketamine
Morphine
Myoclonus
Neuralgia
Neuralgia, Postherpetic
Punctures
Amides
Ketamine
Morphine

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