Treatment of Atypical Facial Pain with Stellate Ganglion Block

비정형 안면통에서의 성상신경절 차단 치료

  • Jeon, Young Hoon (Department of Anesthesiology and Pain Medicine, Kyungpook National University, School of Dentistry) ;
  • Kim, Ji Hyun (Department of Anesthesiology and Pain Medicine, Kyungpook National University, School of Medicine)
  • 전영훈 (경북대학교 치의학전문대학원 마취통증의학교실) ;
  • 김지현 (경북대학교 의학전문대학원 마취통증의학교실)
  • Received : 2014.08.19
  • Accepted : 2014.09.24
  • Published : 2014.09.30

Abstract

Atypical facial pain is loosely used term to describe some chronic facial pain when the symptoms do not exactly and entirely fit one diagnostic criteria. In many cases of pain disorders, sympathetic system is involved, such as in conditions which symptoms mimic post-herpetic neuralgia or complex regional pain syndrome. We report a case of a patient with atypical facial pain following the reduction of temporomanidbular joint dislocation. The atypical pain which was resistant to analgesic medication was successfully managed with stellate ganglion block. Therefore we suggest that stellate ganglion block can be an effective treatment method for controlling atypical facial pain.

Keywords

References

  1. Maihofner C, Seifert F, Markovic K: Complex regional pain syndromes: New pathophysiological concepts and therapies. Eur J Neurology 2010; 17: 649-60. https://doi.org/10.1111/j.1468-1331.2010.02947.x
  2. Mulvaney SW, McLean B, De Leeuw J: The use of stellate ganglion block in the treatment of panic/anxiety symptoms with combat-related post-traumatic stress disorder: preliminary results of long-term follow-up: a case series. Pain Practice 2010; 10: 349-365.
  3. Makharita MY, Amr YM, El-Bayoumy Y: Effect of early stellate ganglion blockade for facial pain from acute herpes zoster and incidence of postherpetic neuralgia. Pain physician 2012; 15: 467-74.
  4. Treggiari MM, Romand JA, Martin JB, Reverdin A, Rufenacht DA, de Tribolet N: Cervical sympathetic block to reverse delayed ischemic neurological deficits after aneurysmal subarachnoid hemorrhage. Stroke 2003; 34: 961-7. https://doi.org/10.1161/01.STR.0000060893.72098.80
  5. Giri S, Nixdorf D: Sympathetically maintained pain presenting first as temporomandibular disorder, then as parotid dysfunction. Text Dent J 2007; 124: 748-52.
  6. Madland G, Feinmann C: Chronic facial pain: a multidisciplinary problem. J Neurol Neurosurg Psychiatry 2001; 71: 716-9. https://doi.org/10.1136/jnnp.71.6.716
  7. Salvaggio I, Adducci E, Dell'Aguila L, Rinaldi S, Marini M, Zappia L, et al: Faical pain: a possible therapy with stellate ganglion block. Pain Med 2008; 9: 958-62. https://doi.org/10.1111/j.1526-4637.2008.00515.x
  8. Wang QX, Wang XY, Fu Na, Liu JY, Yao SL: Stellate ganglion block inhibits formalin-induced nociceptive responses: mechanism of action. Eur J Anaesthesiol 2005; 22: 913-8. https://doi.org/10.1017/S0265021505001559
  9. Uchida K, Tateda T, Hino H: Novel mechanism of action hypothesized for stellate ganglion block related to melatonin. Med Hypotheses 2002; 59: 446-9. https://doi.org/10.1016/S0306-9877(02)00158-5
  10. Bruce J, Tamarkin L, Riedel C, Markey S, Oldfield E: Sequential cerebrospinal fluid and plasma sampling in humans: 24-hour melatonin measurements in normal subjects and after peripheral sympathectomy 1991; 72: 819-23. https://doi.org/10.1210/jcem-72-4-819