과반사성 신경인성 방광 환자에서의 지주막하 차단 효과 - 증례 보고

Spinal reflex activity that remains after insult to the spinal cord brings with it significant functional impairment. Our patient had suffered from general spasticity and hyperreflexic neurogenic bladder caused by sixth cervical cord injury. Unfortunately, the use of oral medication(baclofen) was li...

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Veröffentlicht in:Korean journal of anesthesiology 1997-10, Vol.33 (4), p.770
Hauptverfasser: 한종인, Jong In Han, 이자경, Ja Kyoung Lee, 정락경, Rack Kyung Chung, 이귀용, Guie Yong Lee, 이춘희, Choon Hi Lee, 이청기, Chung Gi Lee
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container_issue 4
container_start_page 770
container_title Korean journal of anesthesiology
container_volume 33
creator 한종인
Jong In Han
이자경
Ja Kyoung Lee
정락경
Rack Kyung Chung
이귀용
Guie Yong Lee
이춘희
Choon Hi Lee
이청기
Chung Gi Lee
description Spinal reflex activity that remains after insult to the spinal cord brings with it significant functional impairment. Our patient had suffered from general spasticity and hyperreflexic neurogenic bladder caused by sixth cervical cord injury. Unfortunately, the use of oral medication(baclofen) was limited by an inadequate effect. So we performed two times of subarachnoid block with 0.5% heavy bupivacaine, the patient experienced improvement in bladder and sphincter function. We concluded that subarachnoid block with 0.5% heavy bupivacaine is an effective and safe modality for spasticity control in patients who are refractory to oral medication before neurolytic block. (Korean J Anesthesiol 1997; 33: 770∼773)
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source DOAJ Directory of Open Access Journals
subjects Anesthetic Techniques
Hyperreflexic neurogenic bladder
injury
spinal. Spinal Cord
title 과반사성 신경인성 방광 환자에서의 지주막하 차단 효과 - 증례 보고
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