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설인신경통 환자에서 Phenytoin 정주의 효과

Other Titles
 The Effect of IV Infusion of Phenytoin for Glossopharyngeal Neuralgia 
Authors
 이영복  ;  윤경봉  ;  이광호  ;  한미경 
Citation
 Korean Journal of Pain (대한통증학회지), Vol.12(1) : 119-122, 1999 
Journal Title
Korean Journal of Pain (대한통증학회지)
ISSN
 1226-2579 
Issue Date
1999
Keywords
Analgesics, intravenous ; Anticonvulsants phenytoin ; Pain ; glossopharyngeal neuralgia
Abstract
Glossopharyngeal neuralgia is a rare syndrome that involves episodic bursts of pain in the sensory distributuion of the ninth cranial nerve. The nature of the pain is characterized by excruciating shock-like pain in the region of the tonsillar fossa or pharynx and can radiate to the ear or the angle of the jaw. Like trigeminal neuralgia, glossopharyngeal neuralgia typically responds to anticonvulsant agents such as carbamazepine. However, dose of carbamazepine needs to be increased gradually to avoid side effects, If the patient can not tolerate until effective carbamazepine level is reached, phenytoin can be administered intravenously at the same time that oral carbamazepine therapy is begun. We present fifty-three year old female patient suffering from glossopharyngeal neuralgia who did not respond to initial carbamazepine therapy, but responded to concomitant intravenous infusion of phenytoin.
Files in This Item:
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers
Yonsei Authors
Yoon, Kyoung Bong(윤경봉) ORCID logo https://orcid.org/0000-0002-4167-1375
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/172597
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