J Korean Pain Soc.  1993 Nov;6(2):255-257.

Stellate Ganglion Block for Shoulder Hand Syndrome following Hemiplegia

• Yoon DM
• Oh HK
• Yoo ES
• Chung SY

Abstract

Shoulder Hand Syndrome is used to describe painful disabilities of the upper extremity due to disturbances of sympathetic nerve supply. A 72 year old male developed hemiplegia on left side on the 5 days after open heart surgery of aortic valve replacement. Three months later, the patient complained of severe pain in the left upper extremity involving shoulder. The left hand showed swelling and flaccid paralysis. Thereafter the left stellate garglion block with 10 ml of l% lidocaine produced prompt pain relief. Thereafter the patient received 94 stellate ganglion block during 7 months which produced permanent remission of pain throughout a 1 year follow period. We recommand sympathetic block for of Shoulder Hand Syndrome following hemiplegia.

Keyword

Stellate ganglion bloc; Shoulder hand syndrome; Hemiplegia

MeSH Terms

Aged
Aortic Valve
Hand
Hemiplegia*
Humans
Lidocaine
Male
Paralysis
Reflex Sympathetic Dystrophy*
Shoulder*
Stellate Ganglion*
Thoracic Surgery
Upper Extremity
Lidocaine