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*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.
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