Spinal tüberkülozda (Pott Hastalığı) multimodal analjezi

Eyigör C; Pirim A; Çağıran E; Uyar M

EN TR

Multimodal analgesia in spinal tuberculosis (Pott's disease)

Abstract

Spinal tuberculosis (Pott's disease) is one of the causes for the low back pain that is rare but has high morbidity rate. Patients may have both somatic and neuropathic severe pain. A female patient aged 70-year who had been diagnosed and operated with Pott's disease 4 years ago presented to our outpatient clinic with a compliant of severe pain (VAS=10/10). A MRI scan revealed a severe destruction at the level of T7-T8 spines with neural compression and collapse. The patient had undergone surgery twice for the same reason. Because of gr TTS fentanyl, tramadole 400inadequate pain control despite the use of 100 mg/day and paracetamol 4 g/day, she was started pregabalin twice daily, and thereafter the dose was up-titrated to 150 mg twice daily, the effective dose. In the month 18 follow-up visit, she had mild pain (VAS: 2/10), could walk with the aid of a walker and perform her daily activities partially with pregabalin g, tramadole 200 mg/day, paracetamol 2 g daily. Our300 mg/day, fentanyl TTS 25 case is the first one for treatment whom pregabalin was used as part of a multimodal analgesia in the treatment of Pott's disease.

Keywords

Spinal tuberculosis, multimodal analgesia, pregabalin

Details

Primary Language

Turkish

Subjects

-

Journal Section

-

Authors

Eyigör C

Pirim A

Çağıran E

Uyar M

Publication Date

June 1, 2011

Submission Date

June 1, 2011

Acceptance Date

-

Published in Issue

Year 2011 Volume: 50 Number: 2

IZ

https://izlik.org/JA84XD97XY

Cite

RIS / Bibtex

Vancouver

1.Eyigör C, Pirim A, Çağıran E, Uyar M. Spinal tüberkülozda (Pott Hastalığı) multimodal analjezi. EJM [Internet]. 2011 Jun. 1;50(2):145-7. Available from: https://izlik.org/JA84XD97XY

Multimodal analgesia in spinal tuberculosis (Pott's disease)

Multimodal analgesia in spinal tuberculosis (Pott's disease)

Abstract

Keywords