J Korean Pain Soc.
1998 Oct;11(2):299-301.
Percutaneous Radiofrequency Thermocoagulation of Stellate Ganglion
- Affiliations
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- 1Department of Anesthesiology, Seoul University Hospital, Seoul, Korea.
- 2Department of Anesthesiology, Chungbuk University Hospital, Chungju, Chungbuk, Korea.
Abstract
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Stellate ganglion block is frequently effective on the pain of head and upper extremities.
However, if the degree and duration of pain relief does not increase with repeated blocks,
we may consider the neurolytic procedure on the stellate ganglion. A patient sufferring from
the pain in the region of ophthalmic branch of left trigeminal nerve and left eyeball region
had been treated with stellate ganglion block. In spite of repeated blocks, the degree and
duration of pain relief did not increase. We performed the radiofrequency thennocoagulation
of stellate ganglion at the operation room under fluoroscopy. Patient got pain relief
immediately after the procedure without any remarkable complication except a mild ptosis,
which was shown before the procedure. We may give priority to radiofrequency thermocoagulation
for stellate ganglion neurolysis due to its simplicity and safty.