Follow-up Evaluation of the Effect of Stellate Ganglion Block Using Thermography -A case report-

체열검사를 이용한 성상신경절 차단 효과 추적 -증례 보고-

  • Kim, Sang Hyun (Department of Anesthesiology and Pain Medicine, Soonchunhyang University Bucheon Hospital) ;
  • Kim, Kyoo Nam (Department of Anesthesiology and Pain Medicine, Soonchunhyang University Bucheon Hospital) ;
  • Lee, Dong Gi (Department of Anesthesiology and Pain Medicine, Soonchunhyang University Gumi Hospital) ;
  • Chae, Won Seok (Department of Anesthesiology and Pain Medicine, Soonchunhyang University Bucheon Hospital) ;
  • Kim, Yong Ik (Department of Anesthesiology and Pain Medicine, Soonchunhyang University Bucheon Hospital)
  • 김상현 (순천향대학교 의과대학 부천병원 마취통증의학교실) ;
  • 김규남 (순천향대학교 의과대학 부천병원 마취통증의학교실) ;
  • 이동기 (구미병원 마취통증의학교실) ;
  • 채원석 (순천향대학교 의과대학 부천병원 마취통증의학교실) ;
  • 김용익 (순천향대학교 의과대학 부천병원 마취통증의학교실)
  • Received : 2006.03.16
  • Accepted : 2006.05.08
  • Published : 2006.06.30

Abstract

Among the sympathetic blocks used to treat various symptoms and diseases, including sympathetic dysfunction in pain clinics, a stellate ganglion block (SGB) is one of the easiest to apply. However, it is difficult to evaluate the effects of SGB due to the subjective nature of patient-reported data. A 26-year-old female, who presented with symptoms of coldness and sweating on both hands, received SGB 25 times on each side over a 2-month period. The effects of SGB were followed up using a cold stress test with thermography. Although the symptoms appeared again after 6 months, the recovery rate of the palmar temperature after the cold stress test improved significantly and was maintained for 18 months.

Keywords

References

  1. Kuminoto M: Evaluation of the skin sympathetic function by the decrease of skin temperature at the finger tip immersed into cold water. Rinsho Shinkeigaku 1989; 29: 1004-8
  2. Sendowski I, Savourey G, Launay JC, Besnard Y, Cottet-Emard JM, Pequignot JM, et al: Sympathetic stimulation induced by hand cooling alters cold-induced vasodilatation in humans. Eur J Appl Physiol 2000; 81: 303-9 https://doi.org/10.1007/s004210050047
  3. Shih CJ, Wu JJ, Lin MT: Autonomic dysfunction in palmar hy-perhidrosis. J Auton Nerv Syst 1983; 8: 33-43 https://doi.org/10.1016/0165-1838(83)90021-8
  4. Harada N: Cold-stress tests involving finger skirl temperature measurement for evaluation of vascular disorders in hand-arm vibration syndrome: review of the literature. Int Arch Occup Environ Health 2002; 75: 14-9 https://doi.org/10.1007/s00420-002-0348-y
  5. Kim YI, Shin HK, Hong JT, Hwang KH, Park W: A cold stress test with thermography for a diagnostic ciriteria in palmar hyperhi-drosis. J Korean Soc Diagn Thermol 2003; 3: 47-50