Percutaneous Radiofrequency Thermocoagulation of Stellate Ganglion -A case report-

경피적 고주파 열 응고술을 이용한 성상 신경절의 파괴술 -증례 보고-

  • Lee, Sang-Chul (Department of Anesthesiology, Seoul University Hospital) ;
  • Jeong, Yong-Bo (Department of Anesthesiology, Seoul University Hospital) ;
  • Yun, Mi-Ja (Department of Anesthesiology, Seoul University Hospital) ;
  • Park, So-Young (Department of Anesthesiology, Seoul University Hospital) ;
  • Bae, Jin-Ho (Department of Anesthesiology, Chungbuk University Hospital)
  • 이상철 (서울대학교 의과대학 마취과학교실) ;
  • 정용보 (서울대학교 의과대학 마취과학교실) ;
  • 윤미자 (서울대학교 의과대학 마취과학교실) ;
  • 박소영 (서울대학교 의과대학 마취과학교실) ;
  • 배진호 (충북대학교 의과대학 마취과학교실)
  • Published : 1998.10.10

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 thermocoagulation 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.

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