ERECTOR SPINA PLAN BLOCK BEFORE CAPSAICIN PATCH (8%) PROCEDURE IN A PATIENT WITH POSTHERPETIC NEURALGIA: CASE REPORT

Year 2021, Volume: 28 Issue: 3, 525 - 528, 13.09.2021

Miraç Alasu , Fahrettin Kırçiçek Pakize Kırdemir

https://doi.org/10.17343/sdutfd.970341

Abstract

The most common complication of herpes zoster is
postherpetic neuralgia (PHN). PHN is defined as pain
that persists for at least 90 days after the onset of the
Herpes zoster rash. A variety of treatment options are
available for the management of PHN pain, including
medications and interventional therapies. Capsaicin,
one of the treatment options in the treatment of PHN,
is a selective agonist of transient receptor potential
vanilloid receptor type 1. Treatment-related pain is
common in capsaicin patch application. Topical and
systemic drugs are used to relieve this pain. We aimed
to present a case of erector spina plan block,
which we performed to a 65-year-old male patient
with PHN to prevent hyperalgesia caused by capsaicin
patch application.

Keywords

postherpetic neuralgia, capsaicin, erector spina plan block

POSTHERPETİK NEVRALJİLİ HASTAYA KAPSAİSİN PATCH (%8) İŞLEMİ ÖNCESİNDE YAPILAN EREKTÖR SPİNA PLAN BLOĞU: OLGU SUNUMU

Abstract

Herpes zoster'in en yaygın komplikasyonu postherpetik
nevraljidir (PHN). PHN, Herpes zoster döküntüsünün
başlangıcından sonra en az 90 gün boyunca
devam eden ağrı olarak tanımlanır. PHN ağrısının yönetimi
için ilaçlar ve girişimsel tedavileri içeren çeşitli
tedavi seçenekleri mevcuttur. PHN tedavisinde tedavi
seçeneklerinden biri olan kapsaisin, geçici reseptör
potansiyeli vanilloid reseptör tip 1'in seçici bir agonistidir.
Tedavi ile ilişkili ağrı, kapsaisin patch uygulamasında
sık görülmektedir. Bu ağrının giderilmesi için
topikal ve sistemik ilaçlar kullanılmaktadır. PHN tanısı
olan, 65 yaş, erkek hastaya kapsaisin patch uygulamasının
oluşturduğu hiperaljeziyi önlemek için uyguladığımız
erektör spina plan bloğu olgusunu sunmayı
amaçladık.

Keywords

postherpetik nevralji, kapsaisin, erektör spina plan bloğu

References

• Zilliox LA. Neuropathic pain. Continuum. 2017;23(2):512–32.
• Ngo AL, Urits I, Yilmaz M, Fortier L, Anya A, Oh JH, et al. Postherpetic Neuralgia: Current Evidence on the Topical Film-Forming Spray with Bupivacaine Hydrochloride and a Review of Available Treatment Strategies. Adv Ther. 2020;37(5):2003-16.
• Lin CS, Lin YC, Lao HC, Chen CC. Interventional treatments for postherpetic neuralgia: a systematic review. Pain Phys. 2019;22(3):209–28.
• Bonezzi C, Costantini A, Cruccu G, Fornasari DMM, Guardamagna V, Palmieri V, et al. Capsaicin 8% dermal patch in clinical practice: an expert opinion. Expert Opin Pharmacother. 2020;21(11):1377-87.
• Forero M, Adhikary SD, Lopez H, Tsui C, Chin KJ. The Erector Spinae Plane Block: A Novel Analgesic Technique in Thoracic Neuropathic Pain. Reg Anesth Pain Med 2016;41(5):621–7.
• Webster LR, Nunez M, Tark MD, Dunteman ED, Lu B, Tobias JK et al. Tolerability of NGX-4010, a capsaicin 8% dermal patch, following pretreatment with lidocaine 2.5% prilocaine 2.5% cream in patients with post-herpetic neuralgia.BMC Anesthesiol. 2011;11:25.
• Backonja M, Wallace MS, Blonsky ER, Cutler BJ, Malan P Jr, Rauck R, et al. NGX-4010, a highconcentration capsaicin patch, for the treatment of postherpetic neuralgia: a randomised, double-blind study. Lancet Neurol. 2008;7(12):1106–12.
• Irving GA, Backonja MM, Dunteman E, Blonsky ER, Vanhove GF, Lu SP, et al. A multicenter, randomized, double-blind, controlled study of NGX-4010, a highconcentration capsaicin patch, for the treatment of postherpetic neuralgia. Pain Med. 2011;12:99–109.
• Derry S, Rice AS, Cole P, Tan T, Moore RA. Topical capsaicin (high concentration) for chronic neuropathic pain in adults. Cochrane database Syst Rev. 2017;1:CD007393
• Simpson DM, Gazda S, Brown S, Webster LR, Lu SP, Tobias JK, et al. NGX-4010 C118 Study Group. Long-term safety of NGX-4010, a high-concentration capsaicin patch, in patients with peripheral neuropathic pain. J Pain Symptom Manage. 2010 Jun;39(6):1053-64.
• Baranidharan G, Das S, Bhaskar A. A review of the high-concentration capsaicin patch and experience in its use in the management of neuropathic pain. Ther Adv Neurol Disord. 2013;6(5):287-97.
• Yosipovitch G, Maibach HI, Rowbotham MC. Effect of EMLA pre-treatment on capsaicin-induced burning and hyperalgesia. Acta Derm Venereol. 1999;79(2):118-21.
• Ueshima H, Hiroshi O: Spread of local anesthetic solution in the erector spinae plane block . J Clin Anesth. 2018;45:23.
• Fusco P, S DIC, Scimia P, Luciani A, Petrucci E, Marinangeli F: Could the new ultrasound guided erector spinae plane block be a valid alternative to paravertebral block in chronic chest pain syndromes?. Minerva Anestesiol. 2017; 83:1112-13
• Forero M, Rajarathinam M, Adhikary SD, Chin KJ: Erector spinae plane block for the management of chronic shoulder pain: a case report. Can J Anaesth. 2018;65:288-93.
• Tulgar S, Senturk O, Thomas DT, Deveci U, Ozer Z. A new technique for sensory blockage of posterior branches of sacral nerves: Ultrasound guided sacral erector spinae plane block. J Clin Anesth. 2019;57:129-130.
• Hacıbeyoğlu G, Arıcan Ş, Ulukaya SO, Yılmaz R, Reisli R, Uzun ST. Evaluation of the efficacy of erector spinae plane block and intercostal nerve block in the postherpetic neuralgia. Ağrı. 2020; 32(4): 208-218.
• Ahiskalioglu A, Alici HA, Ari MA: Ultrasound guided low thoracic erector spinae plane block for management of acute herpes zoster. J Clin Anesth. 2018;45:60-61.