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 |
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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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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)</description><subject>Anesthetic Techniques</subject><subject>Hyperreflexic neurogenic bladder</subject><subject>injury</subject><subject>spinal. 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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)</abstract><pub>대한마취통증의학회</pub><tpages>4</tpages></addata></record> |
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identifier | ISSN: 2005-6419 |
ispartof | Korean journal of anesthesiology, 1997-10, Vol.33 (4), p.770 |
issn | 2005-6419 |
language | kor |
recordid | cdi_kiss_primary_1879354 |
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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