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Continuous Brachial Plexus Block for Pain Due to Continuous Partial Seizures in Multiple Neurocysticercosis

机译:由于在多种神经细胞病变中连续的部分癫痫发作,连续的臂氏锥形嵌段疼痛

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We present a case of multiple neurocysticercosis who had painful continuous partial seizures of the left upper limb.Patient continued to have severe pain inspite of treatment with anticonvulsants, antihelminthic drugs and conventional analgesics. Patient was then treated with a continuous brachial plexus block to the left upper limb. An infusion of 0.125% bupivacaine was started and was titrated to the point of complete pain relief. Pain and seizure activity resolved after four days of medical treatment at which point continuous infusion was stopped. The patient was discharged after two weeks with no further episodes of pain or seizures.The exact source of the pain is not known but could have been due to cysticercal involvement at various points in the pain pathway.
机译:我们提出了一种多种神经细胞病变的案例,左上肢的疼痛连续部分癫痫发作。患有抗惊厥药,抗骨蛋白药物和常规镇痛药的耐受性严重疼痛。然后用连续的臂丛丛块对左上肢处理患者。开始输注0.125%的Bupivacaine,并滴定到完全疼痛缓解的点。疼痛和癫痫发作活性在4天的医疗后解决了,该治疗点连续输注被停止。患者在两周后出院,没有进一步的疼痛或癫痫发作。疼痛的确切来源是未知的,但可能是由于患有疼痛途径的各个点的囊尾的参与。

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