Sacral epidural block ameliorates refractory plantar pain due to HIV-related neuropathy: a case report

DOI
  • YAMADA Chiaki
    Operating Rooms, Kyushu University Hospital
  • MAEDA Aiko
    Department of Anesthesiology and Critical Care Medicine, Kyushu University Hospital
  • ERI Tomoka
    Department of Anesthesiology and Critical Care Medicine, Kyushu University Hospital
  • KAMEYAMA Nozomi
    Department of Anesthesiology and Critical Care Medicine, Kyushu University Hospital
  • ASADA Masako
    Operating Rooms, Kyushu University Hospital
  • YAMAURA Ken
    Department of Anesthesiology and Critical Care Medicine, Kyushu University Graduate School of Medicine

Bibliographic Information

Other Title
  • HIV関連末梢神経障害による難治性足底部痛に対して仙骨硬膜外ブロックが有用であった1症例

Search this article

Description

<p>Case presentation: A 55-year-old male was diagnosed with HIV infection and had pain in both plantar. As his symptoms gradually progressed and eventually led to gait disorder due to the pain, he was referred to our pain management clinic. He complained of persistent stabbing pain in his plantar (maximal pain score was 10 on the numerical rating scale: NRS; 0–10), which severely interrupted the patient's quality of life (QOL). He was diagnosed with HIV-associated peripheral neuropathy (HIV-PN), and his pain symptom was refractory to conservative medication therapy. As a trial sacral epidural block (0.5％ mepivacaine 10 ml) reduced his pain to NRS 7 for several weeks, we performed it repetitively once a month. Five years later from the first visit, his pain was in NRS 0–2 and his QOL was significantly improved. Conclusion: Although symptomatic control of HIV-PN is often challenging, repetitive sacral epidural block may be an effective treatment.</p>

Journal

Keywords

Details 詳細情報について

Report a problem

Back to top