LUMBAR SYMPATHETIC BLOCK FOR ISCHEMIC LEG PAIN MANAGEMENT SECONDARY TO SYSTEMIC LUPUS ERYTHEMATOSUS: A CASE REPORT

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HASHEMI SEYED MASOUD; NIKOOSERESHT MAHSHID; HASANZADEH KIABI FARSHAD

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Journal: TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ) Year:2013 | Volume:71 | Issue:6 Page(s): 415-419

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Title

LUMBAR SYMPATHETIC BLOCK FOR ISCHEMIC LEG PAIN MANAGEMENT SECONDARY TO SYSTEMIC LUPUS ERYTHEMATOSUS: A CASE REPORT

Author(s)

HASHEMI SEYED MASOUD | NIKOOSERESHT MAHSHID | HASANZADEH KIABI FARSHAD | Issue Writer Certificate

Keywords

AUTONOMIC NERVE BLOCKQ2

LUPUS VASCULITISQ2

PAINQ2

SYSTEMIC LUPUS ERYTHEMATOSUSQ3

Abstract

Background: Ischaemic PAIN counts among the most difficult to treat PAINs in palliative care. Ischemic PAIN is frequently severe, and usually resistant to available analgesics.Treatment of this condition is difficult, especially when the condition is inoperable.Case presentation: A 36-year-old woman with the diagnosis of SYSTEMIC LUPUS ERYTHEMATOSUS with severe ischemic PAIN in the lower leg due to vascular problems presented to Akhtar Hospital. The patient was arranged for lumbar sympathetic block which was performed in two stages with one week interval. In the procedure, a long needle with No.22 gauge and the length of 15 cm was used. Under view of fluoroscopy guide, 10 cc marcaine 0.125% was injected. In the second stage, 5 cc of marcaine 0.25% and 5 cc of phenol 0.6% were used. PAIN improvement was observed immediately after neurolytic lumbar sympathetic block. Three-month follow up period revealed improvement of quality of life.Conclusion: Lumbar sympathetic block is considered as a safe and useful technique.Clinically, the technique is effective for PAIN relief in patients who develop lower leg PAIN due to vasculitis.

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APA: Copy

HASHEMI, SEYED MASOUD, NIKOOSERESHT, MAHSHID, & HASANZADEH KIABI, FARSHAD. (2013). LUMBAR SYMPATHETIC BLOCK FOR ISCHEMIC LEG PAIN MANAGEMENT SECONDARY TO SYSTEMIC LUPUS ERYTHEMATOSUS: A CASE REPORT. TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ), 71(6), 415-419. SID. https://sid.ir/paper/38153/en

Vancouver: Copy

HASHEMI SEYED MASOUD, NIKOOSERESHT MAHSHID, HASANZADEH KIABI FARSHAD. LUMBAR SYMPATHETIC BLOCK FOR ISCHEMIC LEG PAIN MANAGEMENT SECONDARY TO SYSTEMIC LUPUS ERYTHEMATOSUS: A CASE REPORT. TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ)[Internet]. 2013;71(6):415-419. Available from: https://sid.ir/paper/38153/en

IEEE: Copy

SEYED MASOUD HASHEMI, MAHSHID NIKOOSERESHT, and FARSHAD HASANZADEH KIABI, “LUMBAR SYMPATHETIC BLOCK FOR ISCHEMIC LEG PAIN MANAGEMENT SECONDARY TO SYSTEMIC LUPUS ERYTHEMATOSUS: A CASE REPORT,” TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ), vol. 71, no. 6, pp. 415–419, 2013, [Online]. Available: https://sid.ir/paper/38153/en

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