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Journal of the Korean Academy of Rehabilitation Medicine 2008;32(6):734-736.
Attenuation of Self-biting in Spinal Cord Injury by Functional Upper Extremity Surgery and Gabapentin Administration: A case report.
Lee, Young Hee , Kim, Sung Hun , Kim, Joo Ryung , Kwon, Sung Joo , Lee, Dong Wook , Chung, Yoon Ku
1Department of Rehabilitation Medicine, Yonsei University Wonju College of Medicine, Korea. juliang76@hotmail.com
2Department of Plastic Surgery, Yonsei University Wonju College of Medicine, Korea.
척수 손상 환자의 자해 행위에 대한 기능적 상지 수술과 가바펜틴의 효용성 -증례 보고-
이영희, 김성훈, 김주령, 권성주, 이동욱, 정윤규1
연세대학교 원주의과대학 재활의학교실, 1성형외과학교실
Abstract
The prevalence of self-mutilation behavior after spinal cord injury is not known. However, self-biting of fingers after spinal cord injury is a rare phenomenon. We report a case of 51-year-old man self-biting of fingers, resulting in multiple finger amputation following C5 complete spinal cord injury. We believe this to be the first Korean report of multiple finger amputation due to self-biting following spinal cord injury. The mutilative self-biting was related to depression and central pain of upper extremity. After operation for tendon transfer of brachioradialis to extensor carpi radialis brevis, his feeding skills and driving skills on electric-powered wheelchair had been improved, and then, his self-biting of fingers had been diminished. The patient has been temperate in self-biting behavior after administration of gabapentin. In our case, functional improvement of upper extremity by functional surgery and central pain relief by gabapentin provided attenuation of mutilative self-biting behavior. (J Korean Acad Rehab Med 2008; 32: 734-736)
Key Words: Spinal cord injury, Autoamputation, Self-injurious behavior
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