A case in which a lumbar sympathetic ganglion block using radiofrequency thermocoagulation and absolute ethanol was effective for treatment-induced diabetic neuropathy with distal symmetric polyneuropathy

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  • 遠位性対称性多発神経障害に治療誘発性糖尿病神経障害を併発した病態に対して高周波熱凝固と無水エタノールを用いた腰部交感神経節ブロックが有効であった症例

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Abstract

<p>A most common type of diabetic neuropathy is distal symmetric polyneuropathy, of which 15–20％ is painful. Other painful types exist, including treatment induced neuropathy of diabetes. Pregabalin and duloxetine are generally used for drug treatment of painful diabetic neuropathy, but nerve block therapy is considered when sufficient efficacy is not obtained. Although there is no nerve block therapy with established evidence, the lumbar sympathetic ganglion block is a treatment option when peripheral blood flow disorders are suspected to be involved in the pathology. We report a case of bilateral lower extremity pain associated with distal symmetric polyneuropathy and treatment-induced diabetic neuropathy, in which a lumbar sympathetic ganglion block using radiofrequency thermocoagulation and absolute ethanol was effective.</p>

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