J Korean Pain Soc.  1998 May;11(1):109-112.

Effect of Stellate Ganglion Block with Morphine on Causalgia

• Kim EM
• Yoon SG
• Paek MH
• Kwak HS

Abstract

The sympathetic nervous system has been implicated as an important factor contributing to causalgia. Basis on reports of presence of opioid receptors in sympathetic autonomic ganglia, including human stellate ganglion, we administered morphine in stellate ganglion block for a patient with causalgia. The patient suffering from brachial plexus injury treated with stellate ganglion block in conjunction with physical therapy. Stellate ganglion block was performed in a paratracheal approach by injection of 1% lidocaine, or 0.25% bupivacaine 8 ml, with morpine 1 mg. Patients symptoms were dramatically improved after 13 stellate ganglion blocks.

Keyword

Analgesics, morphine; Anesthetics, local, bupivacaine, lidocaine; Pain, causalgia; Technique, stellate ganglion block

MeSH Terms

Brachial Plexus
Bupivacaine
Causalgia*
Ganglia, Autonomic
Humans
Lidocaine
Morphine*
Receptors, Opioid
Stellate Ganglion*
Sympathetic Nervous System
Bupivacaine
Lidocaine
Morphine
Receptors, Opioid