CASE REPORT


Repeated Thoracic Paravertebral Blocking to Alleviate Pain Symptoms in 66-years-old Man with Post-herpetic Neuralgia: A Case Report



Muhammad Jalaluddin Assuyuthi Chalil1, *, Mual Kristian Sinaga2, Muhammad Ramli Ahmad3
1 Department of Anesthesiology and Reanimation, Faculty of Medicine, Universitas Muhammadiyah Sumatera Utara, Medan, Indonesia
2 Department of Anesthesiology and Intensive Care, Murni Teguh Memorial Hospital, Medan, Indonesia
3 Division of Pain Management, Department of Anesthesiology and Intensive Care, Faculty of Medicine, Universitas Hasanuddin, Makassar, Indonesia


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Creative Commons License
© 2024 The Author(s). Published by Bentham Open.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* Address correspondence to this author at the Department of Anesthesiology and Intensive Care, Faculty of Medicine, Universitas Hasanuddin, Makassar, Indonesia; E-mail: muhammadjalaluddin@umsu.ac.id


Abstract

Introduction

Post-herpetic Neuralgia (PHN) is a neuropathic pain syndrome resulting from the sequelae of Herpes Zoster (HZ).

Case Report

Therefore, this study aimed to report a case of a 66-year-old male who presented with chronic pain characterized by a burning sensation in the right chest region, specifically at the areola level. The patient had been experiencing these symptoms for a year, which progressed to the severe stage over the past few months. To mitigate pain, a Thoracic Paravertebral Block (TPVB) procedure was proposed and conducted 3 times, with a solution containing levobupivacaine 0.25% and dexamethasone 10 mg in 5 ml.

Conclusion

The procedure was replicated three times. After two weeks, the pain had almost subsided, showing less need for further analgesia.

Keywords: Analgesic, Herpes zoster, Post-herpetic neuralgia, Thoracic paravertebral block, Varicella zoster virus, Pain.