scholarly journals Case Report of Subanesthetic Intravenous Ketamine Infusion for the Treatment of Neuropathic Pain and Depression with Suicidal Features in a Pediatric Patient

2018 ◽  
Vol 2018 ◽  
pp. 1-4 ◽  
Author(s):  
Garret Weber ◽  
JuHan Yao ◽  
Shemeica Binns ◽  
Shinae Namkoong
Keyword(s):  
Neuropathic Pain ◽  
Case Report ◽  
Pediatric Patient ◽  
Chronic Neuropathic Pain ◽  
Ketamine Infusion ◽  
Refractory Pain ◽  
Intravenous Ketamine

Chronic neuropathic pain and depression are often comorbid. Ketamine has been used to treat refractory pain. There is emerging evidence for use in depression. We present a case of a pediatric patient who was successfully treated with subanesthetic intravenous ketamine infusion for chronic neuropathic pain and suicidality.

scholarly journals Reduction of central neuropathic pain with ketamine infusion in a patient with Ehlers–Danlos syndrome: a case report

2016 ◽  
Vol Volume 9 ◽  
pp. 683-687 ◽  
Author(s):  
Tony Chung Tung Lo ◽  
Stephen Yeung ◽  
Sujin Lee ◽  
Kira Skavinski ◽  
Solomon Liao
Keyword(s):  
Neuropathic Pain ◽  
Case Report ◽  
Ketamine Infusion ◽  
Central Neuropathic Pain ◽  
Danlos Syndrome

scholarly journals Ketamine Treatment for Intractable Pain in a Patient with Severe Refractory Complex Regional Pain Syndrome: A Case Report

2008 ◽  
Vol 3;11 (5;3) ◽  
pp. 339-342
Author(s):  
Paul E. Schulz
Keyword(s):  
Case Report ◽  
Complex Regional Pain Syndrome ◽  
Upper Extremity ◽  
Pain Syndrome ◽  
Future Research ◽  
Intractable Pain ◽  
Ganglion Block ◽  
Ketamine Infusion ◽  
Patient Reported ◽  
Intravenous Ketamine

In this case report, we describe the effect of ketamine infusion in a case of severe refractory complex regional pain syndrome I (CRPS I). The patient was initially diagnosed with CRPS I in her right upper extremity. Over the next 6 years, CRPS was consecutively diagnosed in her thoracic region, left upper extremity, and both lower extremities. The severity of her pain, combined with the extensive areas afflicted by CRPS, caused traumatic emotional problems for this patient. Conventional treatments, including anticonvulsants, bisphosphonates, oral steroids and opioids, topical creams, dorsal column spinal cord stimulation, spinal morphine infusion, sympathetic ganglion block, and sympathectomy, failed to provide long-term relief from pain. An N-methyl-d-aspartate (NMDA) antagonist inhibitor, ketamine, was recently suggested to be effective at resolving intractable pain. The patient was then given several infusions of intravenous ketamine. After the third infusion, the edema, discoloration, and temperature of the affected areas normalized. The patient became completely pain-free. At one-year of follow-up, the patient reported that she has not experienced any pain since the last ketamine infusion. Treatment with intravenous ketamine appeared to be effective in completely resolving intractable pain caused by severe refractory CRPS I. Future research on this treatment is needed. Key words: Ketamine, Complex Regional Pain Syndrome (CRPS), treatment

scholarly journals Pulsed Radiofrequency of Stellate Ganglion for Neuropathic Pain Associated with Recurrent Pleural Leiomyosarcoma - A Case Report

2021 ◽  
Vol 0 ◽  
pp. 1-3
Author(s):  
Anand Murugesan ◽  
M. S. Raghuraman
Keyword(s):  
Neuropathic Pain ◽  
Case Report ◽  
Soft Tissue ◽  
Pain Relief ◽  
Stellate Ganglion ◽  
Soft Tissue Sarcomas ◽  
Pulsed Radiofrequency ◽  
Chronic Neuropathic Pain ◽  
Provide Pain Relief

Pleural leiomyosarcomas are rare soft-tissue sarcomas. Neuropathic pain associated with such tumours can be quite debilitating. We present the case of a 62-year-old woman with chronic neuropathic pain refractory to pharmacologic interventions in association with recurrent pleural leiomyosarcoma. Pulsed radio-frequency of the stellate ganglion was performed after due consideration and planning as a palliative measure to provide pain relief. The patient was discharged the same day with pain score 0/10 and followed up for 3 years. The unique features of this case report are: (1) Different approach of the treatment modality and (2) longer follow-up.

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