Lidocaine 5% Medicated Plaster for Spinal Neuropathic Pain.
JOURNAL OF PAIN & PALLIATIVE CARE PHARMACOTHERAPY(2016)
摘要
Spinal cord injuries frequently determine central pain symptoms that are difficult to control. The authors present the case of a 67-year-old suffering from a pleural mesothelioma. During the disease course, he developed a paraplegia syndrome from mesothelioma compression of the spinal cord at T4-T5 level. Following spinal decompression surgery, the patient presented an intense at-level, superficial neuropathic pain syndrome with allodynia and hyperalgesia. After systemic pharmacological therapies had failed, treatment with lidocaine 5% plaster was initiated. The superficial neuropathic symptoms almost completely disappeared within a few days. The lidocaine topical treatment was continued for months with durable analgesic effect.
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关键词
mesothelioma,lidocaine medicated plaster,neuropathic pain,spinal cord injury
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