Relief of lightning pains in tabes dorsalis.

نویسنده

  • W FOWLER
چکیده

The immediate relief of lightning pains in tabetics remains a problem. Though sedatives are still the commonest drugs prescribed, medical measures such as administration of vitamin B1, ephedrine, adrenaline, and insulin have been suggested on supposed etiological grounds, but have failed to meet with general approval. Surgical procedures, such as epidural injections, division of the nerve roots, and cordotomy, have also been tried with varying degrees of success. One year ago, it was thought that lightning pain might be relieved by anesthetizing the skin area where the pain was felt, in the same way as the referred shoulder-tip pain in perforated peptic ulcer can be abolished by infiltrating the skin over the shoulder-tip with procaine hydrochloride. In 1936 Alajouanine and others, working on the assumption that lightning pains were due to peripheral stimuli, claimed that after 10 to 20 c.cm. of 2 per cent. procaine hydrochloride were infiltrated into "trigger zones " in the skin, the pains disappeared.

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عنوان ژورنال:
  • The British journal of venereal diseases

دوره 23 2  شماره 

صفحات  -

تاریخ انتشار 1947