ERECTOR SPINA PLAN BLOCK BEFORE CAPSAICIN PATCH (8%) PROCEDURE IN A PATIENT WITH POSTHERPETIC NEURALGIA: CASE REPORT

Abstract

The most common complication of herpes zoster is postherpetic neuralgia (PHN). PHN is defined as pain that persists for at least 90 days after the onset of the Herpes zoster rash. A variety of treatment options are available for the management of PHN pain, including medications and interventional therapies. Capsaicin, one of the treatment options in the treatment of PHN, is a selective agonist of transient receptor potential vanilloid receptor type 1. Treatment-related pain is common in capsaicin patch application. Topical and systemic drugs are used to relieve this pain. We aimed to present a case of erector spina plan block, which we performed to a 65-year-old male patient with PHN to prevent hyperalgesia caused by capsaicin patch application.

Keywords

• postherpetic neuralgia
• capsaicin
• erector spina plan block

POSTHERPETİK NEVRALJİLİ HASTAYA KAPSAİSİN PATCH (%8) İŞLEMİ ÖNCESİNDE YAPILAN EREKTÖR SPİNA PLAN BLOĞU: OLGU SUNUMU

Abstract

Herpes zoster'in en yaygın komplikasyonu postherpetik nevraljidir (PHN). PHN, Herpes zoster döküntüsünün başlangıcından sonra en az 90 gün boyunca devam eden ağrı olarak tanımlanır. PHN ağrısının yönetimi için ilaçlar ve girişimsel tedavileri içeren çeşitli tedavi seçenekleri mevcuttur. PHN tedavisinde tedavi seçeneklerinden biri olan kapsaisin, geçici reseptör potansiyeli vanilloid reseptör tip 1'in seçici bir agonistidir. Tedavi ile ilişkili ağrı, kapsaisin patch uygulamasında sık görülmektedir. Bu ağrının giderilmesi için topikal ve sistemik ilaçlar kullanılmaktadır. PHN tanısı olan, 65 yaş, erkek hastaya kapsaisin patch uygulamasının oluşturduğu hiperaljeziyi önlemek için uyguladığımız erektör spina plan bloğu olgusunu sunmayı amaçladık.

Keywords

• postherpetik nevralji
• kapsaisin
• erektör spina plan bloğu

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