Ganglion Block

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Chan Kim - One of the best experts on this subject based on the ideXlab platform.

Zahid H Bajwa - One of the best experts on this subject based on the ideXlab platform.

  • migraine headache following stellate Ganglion Block for reflex sympathetic dystrophy
    Headache, 1996
    Co-Authors: Lance J Lehmann, Carol A Warfield, Zahid H Bajwa
    Abstract:

    The alteration of extracranial blood flow in conjunction with clinical signs of autonomic nervous system dysfunction have led to various explanations concerning the pathophysiology of migraine headache. Reflex sympathetic dystrophy, a painful disorder of the sympathetic nervous system, can be treated by Blocking the sympathetic nerves located in the stellate Ganglion, resulting in vasodilation, ptosis, miosis, and anhydrosis. In theory, these changes could trigger a migraine headache attack secondary to autonomic dysfunction reflecting an imbalance between sympathetic and parasympathetic nervous systems. This may be especially true in a patient with a previous history of meningitis that may have resulted in a disorder of cerebrovescular regulation. We report a 56-year-old man with no previous history of migraine who developed migraine with aura after a stellate Ganglion Block. Those episodic headaches occurred with decreasing frequency end severity for over 6 months, with eventual complete resolution. This interesting phenomenon has not been reported in the English literature and may help to better understand the pathophysiology of migraine.

  • migraine headache following stellate Ganglion Block for reflex sympathetic dystrophy
    Headache, 1996
    Co-Authors: Lance J Lehmann, Carol A Warfield, Zahid H Bajwa
    Abstract:

    The alteration of extracranial blood flow in conjunction with clinical signs of autonomic nervous system dysfunction have led to various explanations concerning the pathophysiology of migraine headache. Reflex sympathetic dystrophy, a painful disorder of the sympathetic nervous system, can be treated by Blocking the sympathetic nerves located in the stellate Ganglion, resulting in vasodilation, ptosis, miosis, and anhydrosis. In theory, these changes could trigger a migraine headache attack secondary to autonomic dysfunction reflecting an imbalance between sympathetic and parasympathetic nervous systems. This may be especially true in a patient with a previous history of meningitis that may have resulted in a disorder of cerebrovascular regulation. We report a 56-year-old man with no previous history of migraine who developed migraine with aura after a stellate Ganglion Block. These episodic headaches occurred with decreasing frequency and severity for over 6 months, with eventual complete resolution. This interesting phenomenon has not been reported in the English literature and may help to better understand the pathophysiology of migraine.

Kyung Bong Yoon - One of the best experts on this subject based on the ideXlab platform.

  • estimation of stellate Ganglion Block injection point using the cricoid cartilage as landmark through x ray review
    The Korean Journal of Pain, 2011
    Co-Authors: Jeongsoo Park, Duck Mi Yoon, Kyung Bong Yoon, Jong Bum Choi
    Abstract:

    Background Stellate Ganglion Block is usually performed at the transverse process of C6, because the vertebral artery is located anterior to the transverse process of C7. The purpose of this study is to estimate the location of the transverse process of C6 using the cricoid cartilage in the performance of stellate Ganglion Block. Methods We reviewed cervical lateral neutral-flexion-extension views of 48 patients who visited our pain clinic between January and June of 2010. We drew a horizontal line at the surface of the cricoid cartilage in the neutral and extension views of cervical lateral x-rays. We then measured the change in the shortest distance from this horizontal line to the lowest point of the transverse process of C6 between the neutral and extension views. Results There was a statistically significant difference in the shortest distance from the horizontal line at the surface of the cricoid cartilage to the lowest point of transverse process of C6 between neutral position and neck extension position in both males and females, and between males and females in both neutral position and neck extension position. The cricoid cartilage level was 4.8 mm lower in males and 14.4 mm higher in females than the lowest point of transverse process of C6 in neck extension position. Conclusions Practitioners should recognize that the cricoid cartilage has cephalad movement in neck extension. In this way, the cricoid cartilage can be still useful as a landmark for stellate Ganglion Block.

  • severe compensatory hyperhidrosis after a lumbar sympathetic Ganglion Block a case report
    Korean Journal of Anesthesiology, 2005
    Co-Authors: Won Oak Kim, Duck Mi Yoon, Kyung Bong Yoon, Hae Keum Kil, Kwan Sang Cho
    Abstract:

    A healthy, 25-year old female patient with no medical history complained of excessive palmar, plantar, axillary, back, and thigh sweating due to stress or a high temperature. Her whole body hyperhidrosis was often disabling and embarrassing in daily life. Plantar hyperhidrosis interfered with her social activities, and accordingly, she was suggested to have a lumbar sympathetic Ganglion Block with alcohol. Right side Ganglion Block was performed without any problem at the 3rd and 4th lumbar vertebrae. After sympathetic Block, right foot sweating stopped, but phantom sweating continued for a week, and an ache in the pelvic area and flushing of the right foot continued for more than 10 days. Thus a left side procedure was postponed, but all symptoms disappeared after 21 days and the chemical neurolytic Block of left side was subsequently performed, and plantar hyperhidrosis was resolved. However, 2 days after completing the lumbar sympathetic Block, excessive sweating occurred in the facial, axillary, and back regions with upper body flushing. Two months later, her whole body, excepting the lower extremity showed running sweat after a 10 minute walk on exertion. To reduce the sweating, aluminum chloride, and oral and topical glycopyrrolate were prescribed to no affects. She is currently waiting for the return of normal lumbar sympathetic Ganglion function.

  • thoracic sympathetic Ganglion Block for two patients with thoracic cancer pain a case report
    The Korean Journal of Pain, 1992
    Co-Authors: Giehoan Lee, Kyung Bong Yoon, Chan Kim
    Abstract:

    Thoracic sympathetic Ganglion Block was not applied routinely because of high incidence of complication such as pneumothorax. We successfully managed a patient with sternal pain and a patient with scapular pain by thoracic sympathetic Ganglion Block. We concluded that thoracic sympathetic Ganglion Block was an effective treatment for intractable cancer pain. However precise anatomical knowledgement is essential.

Christian S Meyhoff - One of the best experts on this subject based on the ideXlab platform.

  • sphenopalatine Ganglion Block for the treatment of postdural puncture headache a randomised blinded clinical trial
    BJA: British Journal of Anaesthesia, 2020
    Co-Authors: Mads Seit Jespersen, Karen Lehrmann Aegidius, Maria Louise Fabritius, Patricia Duch, Arash Afshari, Christian S Meyhoff, Pia Jaeger
    Abstract:

    Abstract Background Current treatment of postdural puncture headache includes epidural blood patch (EBP), which is invasive and may result in rare but severe complications. Sphenopalatine Ganglion Block is suggested as a simple, minimally invasive treatment for postdural puncture headache. We aimed to investigate the analgesic effect of a transnasal sphenopalatine Ganglion Block with local anaesthetic vs saline. Methods We conducted a blinded, randomised clinical trial including adults fulfilling the criteria for EBP. Participants received a sphenopalatine Ganglion Block bilaterally with 1 ml of either local anaesthetic (lidocaine 4% and ropivacaine 0.5%) or placebo (saline). Primary outcome was pain in upright position 30 min post-Block, measured on a 0–100 mm VAS. Results We randomised 40 patients with an upright median pain intensity of 74 and 84 mm in the local anaesthetic and placebo groups at baseline, respectively. At 30 min after sphenopalatine Ganglion Block, the median pain intensity in upright position was 26 mm in the local anaesthetic group vs 37 mm in the placebo group (estimated median difference: 5 mm; 95% confidence interval: –14 to 21; P=0.53). In the local anaesthetic group, 50% required an EBP compared with 45% in the placebo group (P=0.76). Conclusions Administration of a sphenopalatine Ganglion Block with local anaesthetic had no statistically significant effect on pain intensity after 30 min compared with placebo. However, pain was reduced and EBP was avoided in half the patients of both groups, which suggests a major effect not necessarily attributable to local anaesthetics. Clinical trial registration NCT03652714.

Jee Youn Moon - One of the best experts on this subject based on the ideXlab platform.

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