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
Article Information
Identifiers and Pagination:
Year: 2024Volume: 18
E-location ID: e25896458291304
Publisher ID: e25896458291304
DOI: 10.2174/0125896458291304240328081800
Article History:
Received Date: 04/11/2023Revision Received Date: 09/02/2024
Acceptance Date: 20/02/2024
Electronic publication date: 02/05/2024
Collection year: 2024
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.
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.