J Korean Pain Soc.  1998 Oct;11(2):299-301.

Percutaneous Radiofrequency Thermocoagulation of Stellate Ganglion

Affiliations
  • 1Department of Anesthesiology, Seoul University Hospital, Seoul, Korea.
  • 2Department of Anesthesiology, Chungbuk University Hospital, Chungju, Chungbuk, Korea.

Abstract

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.

Keyword

Analgesia, radiofrequency thermocoagulation, stellate ganglion block

MeSH Terms

Electrocoagulation*
Fluoroscopy
Head
Humans
Stellate Ganglion*
Trigeminal Nerve
Upper Extremity
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