J Korean Dent Soc Anesthesiol.  2010 Dec;10(2):197-202. 10.17245/jkdsa.2010.10.2.197.

Acute Back Pain Care after Mandibular Block Anesthesia in an Aged Woman with Multiple sclerosis: A Case Report

• Lee CU
• Mo DY
• Yoo JH
• Choi BH
• Kim JB

• KMID: 2345087
• DOI: http://doi.org/10.17245/jkdsa.2010.10.2.197

Abstract

Multiple sclerosis is a degenerative disease prevalent in northern climates, and its cause is unknown. The histopathological lesion in multiple sclerosis is the sclerotic "plague", a discrete focus of myelin loss with maintenance of axon segments and glial proliferation. The plaques may be seen in widely different brain and spinal tissues. The common causes of low back pain are psychosomatic disorder, myofascial pain dysfunction syndrome and herniation of nucleus pulposus. Local anesthetics cross the blood-brain barrier and the signs of CNS toxicity appear at a level between 4.5 and 7.0 µg/ml. This is a case report of acute back pain care after mandibular block anesthesia for the surgical extraction of mandibular root rests in an old aged woman with multiple sclerosis.

Keyword

Back pain; Mandibular block anesthesia; Multiple sclerosis

MeSH Terms

Anesthesia*
Anesthetics, Local
Axons
Back Pain*
Blood-Brain Barrier
Brain
Climate
Female
Humans
Low Back Pain
Multiple Sclerosis*
Myelin Sheath
Psychophysiologic Disorders
Anesthetics, Local