A case report of thermocoagulation therapy for a PHN patient during anticoagulotherapy

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  • IKEDA Eri
    Tokyo Medical and Dental University, Department of Anesthesiology
  • OHTANI Yoshie
    Tokyo Medical and Dental University, Department of Anesthesiology
  • OHATA Megumi
    Tokyo Medical and Dental University, Department of Anesthesiology
  • MASUDA Akio
    Tokyo Medical and Dental University, Department of Anesthesiology
  • MAKITA Koshi
    Tokyo Medical and Dental University, Department of Anesthesiology

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  • 難治性帯状疱疹後神経痛に対して抗凝固療法中断下に高周波熱凝固を行った1症例
  • 症例 難治性帯状疱疹後神経痛に対して抗凝固療法中断下に高周波熱凝固を行った1症例
  • ショウレイ ナンチセイ タイジョウホウシンゴ シンケイツウ ニ タイシテ コウギョウコ リョウホウ チュウダン カ ニ コウシュウハ ネツ ギョウコ オ オコナッタ 1 ショウレイ

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We report a patient during anticoagulotherapy for pulmonary thromboenbolism whose PHN (postherpetic neuralgia) pain was treated by thermocoagulation therapy.<br>Before the patient had suffered from pulmonary embolism, her PNH pain was effectively treated by epidural analgesia and root block.<br>To avoid the risk of complication of bleeding in the epidural space, we planned the permanent nerve root block by thermocoagulation therapy instead of by epidulal analgesia.<br>We stopped warfarin for 3 days and heparin for 6 hours before the procedure, We then performed the root thermocoagulation at the level of the thoracic nerves of 11 and 12.<br>Heparin was restarted 3 hours after the nerve block. The patient had no complications, and the pain was controlled successfully. A nerve block can be instrumental in pain relief during anticoagulotherapy.

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