This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a colleague Similar articles in this journal Similar articles in Web of Science Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Request Permissions Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Cohen, S. P. Articles by Abdi, S. Search for Related Content PubMed PubMed Citation Articles by Cohen, S. P. Articles by Abdi, S. Related Collections Pain

---

PAIN MEDICINE

Venous Malformations Associated with Central Pain: Report of a Case

Steven P. Cohen, MD^*, and Salahadin Abdi, MD PhD

*Department of Anesthesiology, Pain Management Center, Walter Reed Army Medical Center, Washington, DC, and Uniformed Services University of the Health Sciences, Bethesda, Maryland; Department of Anesthesia and Critical Care, MGH Pain Center, Massachusetts General Hospital, Harvard Medical School, Boston; and Department of Anesthesiology, New York University School of Medicine, New York, New York

Address correspondence and reprint requests to Steven P. Cohen, MD, Department of Anesthesiology, New York University School of Medicine, 550 First Avenue, New York, NY 10016. Address e-mail to steven.cohen{at}med.nyu.edu

IMPLICATIONS: The authors describe an unusual case of central pain (CP) that resulted from giant venous hemangiomas. The patient was treated with a variety of medications, including the N-methyl-D-aspartate antagonist dextromethorphan. We report the first known association between venous malformations and CP and briefly describe why the use of dextromethorphan in this disorder requires further evaluation.