The Korean Journal of Pain

The Korean Pain Society (대한통증학회)
권호 표지

Changes in Blood Flow Velocity of Middle Cerebral Artery After Stellate Ganglion Block

성상신경절 차단후 중뇌동맥의 혈류 속도 변화

  • Seo, Young-Sun (Department of Anesthesiology, Ajou University School of Medicine) ;
  • Kim, Sung-Hee (Nambu Jeil Neuro-pain Clinic) ;
  • Hur, Chul-Ryung (Department of Anesthesiology, Ajou University School of Medicine) ;
  • Lee, Kyung-Jin (Department of Anesthesiology, Ajou University School of Medicine) ;
  • Lee, Sook-Yeoung (Department of Anesthesiology, Ajou University School of Medicine) ;
  • Kim, Chang-Ho (Department of Anesthesiology, Ajou University School of Medicine) ;
  • Kim, Chan (Neuro-pain Clinic, Seran Hospital) ;
  • Lee, Young-Seok (Department of Anesthesiology, Ajou University School of Medicine) ;
  • Lee, Dong-Chul (Department of Anesthesiology, Yonsei University College of Medicine)
  • 서영선 (아주대학교 의과대학 마취과학교실) ;
  • 김승희 (남부제일의원 신경통증크리닉) ;
  • 허철령 (아주대학교 의과대학 마취과학교실) ;
  • 이경진 (아주대학교 의과대학 마취과학교실) ;
  • 이숙영 (아주대학교 의과대학 마취과학교실) ;
  • 김창호 (아주대학교 의과대학 마취과학교실) ;
  • 김찬 (세란병원 신경통증크리닉) ;
  • 이영석 (아주대학교 의과대학 마취과학교실) ;
  • 이동철 (연세대학교 의과대학 마취과학교실)
  • Published : 1996.06.01
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Abstract

Stellate ganglion block(SGB) improves cutaneous blood flow of the head and neck region and upper extremity. For this reason, SGB has been performed in neural and circulatory disorders. But there is controversy on the cerebral blood flow regulation by sympathetic innervation. We investigated the hypothesis that cerebral blood flow could be affected by blocking ipsilateral sympathetic innervation of cerebral blood flow could be affected by blocking ipsilateral sympathetic innervation of cerebral vasculature. In 10 volunteers, the blood flow velocity and pulsatility index(PI) of middle cerebral artery(MCA) was measured using Transcranial Doppler Flowmeter, before and 15 minutes after SGB, at block side and opposite side. The blood flow velocity of MCA at block side was increased from $62.60{\pm}7.60$ cm/s to $72.80{\pm}8.01$ cm/s(P<0.01) and the PI at block side decreased from $0.75{\pm}0.12$ to $0.60{\pm}0.11$(P<0.05). But the blood flow velocity and PI at opposite side did not change. This study demonstrated that the cerebral blood flow could be increased by SGB, the preganglionic nerve fibers of which synapse with other cervical sympathetic ganglions.

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