頁籤選單縮合
題 名 | 坐骨神經痛鑑別診斷的陷阱:疱疹前神經痛=Pitfall Differential Diagnosis of Sciatica-Preherpetic Neuralgia : A Case Report |
---|---|
作 者 | 黃光聖; 劉昭宏; | 書刊名 | Medical Journal of South Taiwan |
卷 期 | 3:2 2007.09[民96.09] |
頁 次 | 頁105-108 |
分類號 | 415.83 |
關鍵詞 | 帶狀疱疹; 疱疹前神經痛; 坐骨神經痛; Herpes zoster; Preherpetic neuralgia; Sciatica; |
語 文 | 中文(Chinese) |
中文摘要 | 坐骨神經痛是復健科門診常見的症狀之一。比較常考慮的病因包含了椎間盤突出、腰椎退化症、椎管狹窄症、梨狀肌症候群、周邊神經病變、脊椎腫瘤及感染等。正確的鑑別診斷決定了如何治療坐骨神經痛。本文報告了一位七十歲男性,他因為右下肢坐骨神經痛前來求診,給予止痛藥物及復健治療均未見效,卻於發病後第十二天在右足踝部長出帶狀疱疹,經由抗病毒藥物治療之後,神經痛才痊癒。本文主旨在提醒醫師須將帶狀疱疹所引起的疱疹前神經痛列入坐骨神經痛的鑑別診斷。 |
英文摘要 | Sciatica is one of the most common symptoms seen in clinics of rehabilitation department. Etiology of sciatica usually includes lumbar HIVD, lumbar spondylosis, lumbar stenosis, piriformis syndrorme, peripheral neuropathy, spinal tumor or infections and so on. Because of this long list of possibilities, the treatment is highly dependent upon accurate differential diagnosis. The following case study involves a 70 year-old man suffering from right-side sciatica whose symptom persisted in spite of the application of analgesics and physical therapy. However, the skin of his right ankle had managed to develop herpes zoster on the twelfth day of onset of sciatica. After applying acyclovir as treatment, the neuralgia was cured dramatically. Based on this observation, preherpetic neuralgia should be taken into consideration, that when conducting differential diagnosis of sciatica. |
本系統中英文摘要資訊取自各篇刊載內容。