AI Article Synopsis

  • Postherpetic neuralgia is a common and challenging complication of herpes zoster, often resulting in prolonged neuropathic pain that can last indefinitely.
  • Continuous epidural blockade may help reduce treatment duration for acute zoster, but it carries risks such as infection and nerve damage.
  • A case is reported involving a patient experiencing myoclonus during epidural block treatment with a combination of ropivacaine, morphine, and ketamine.

Article Abstract

Postherpetic neuralgia is the most frequent complication of herpes zoster. Treatment of this neuropathic pain syndrome is difficult and often disappointing. Although postherpetic neuralgia is generally a self-limited condition, it can last indefinitely. Continuous epidural blockade for patients with acute zoster can shorten the duration of treatment. However, continuous epidural block has some complications such as infection, dural puncture, and total spinal and nerve damages. We report a case of myoclonus during continuous epidural block with ropivacaine, morphine, and ketamine in an acute zoster patient.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3172332PMC
http://dx.doi.org/10.3344/kjp.2011.24.3.169DOI Listing

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