ガッセル神経節の高周波熱凝固後に急性化膿性髄膜炎を発症した1例  [in Japanese] Bacterial meningitis after radiofrequency thermocoagulation of the Gasserian ganglion : a case report  [in Japanese]

Access this Article

Author(s)

Abstract

われわれはがん性痛に対してガッセル神経節の高周波熱凝固を行った後に急性化膿性髄膜炎が生じた症例を報告する.50歳の男性で,右下顎の歯肉癌による痛みに対してガッセル神経節の高周波熱凝固を行った.右下顎の痛みは軽減したが,同日の深夜より強い頭痛と39°Cの発熱が起こった.明らかな髄膜刺激徴候はなかったが,4日後の脳脊髄液検査で細胞数増加,蛋白濃度の上昇,糖濃度の低下があり,細菌性髄膜炎が疑われた.パニペネム/ベタミプロン4 g/日とバンコマイシン2 g/日を投与した.高周波熱凝固から8日後に解熱し,頭痛は消失した.神経脱落症状はなかった.

We report a patient who developed bacterial meningitis after radiofrequency thermocoagulation of the Gasserian ganglion. A 50-year-old man underwent this procedure for treatment of cancer pain of the mandible. The pain subsequently decreased; however, headache and elevation of the body temperature up to 39°C occurred the first night following the procedure. The patient showed no apparent sign of meningeal irritation. However, a cerebrospinal fluid examination four days after the procedure revealed pleocytosis, elevated protein level, and decreased glucose level, suggesting bacterial meningitis. Antibiotics were changed to panipenem/betamipron 4 g/day and vancomycin 2 g/day. The headache and pyrexia disappeared eight days after the procedure, and there were no apparent neurological deficits.

Journal

  • Journal of Japan Society of Pain Clinicians

    Journal of Japan Society of Pain Clinicians 18(4), 392-394, 2011-09-25

    Japan Society of Pain Clinicians

References:  13

Codes

  • NII Article ID (NAID)
    10029809654
  • NII NACSIS-CAT ID (NCID)
    AN10440947
  • Text Lang
    JPN
  • Article Type
    ART
  • ISSN
    13404903
  • NDL Article ID
    11264615
  • NDL Source Classification
    ZS47(科学技術--医学--治療医学・看護学・漢方医学)
  • NDL Call No.
    Z19-B321
  • Data Source
    CJP  NDL  J-STAGE 
Page Top