Browse > Article

Lumbar Sympathetic Ganglion Block with Alcohol for Plantar Hyperhidrosis  

Han, Seung Tak (Department of Anesthesiology and Pain Medicine, School of Medicine, Ajou University)
Kim, Chan (Department of Anesthesiology and Pain Medicine, School of Medicine, Ajou University)
Han, Kyung Ream (Department of Anesthesiology and Pain Medicine, School of Medicine, Ajou University)
Cho, Hae Won (Department of Anesthesiology and Pain Medicine, College of Medicine, Hallym University)
Noh, Hyun Ju (Department of Anesthesiology and Pain Medicine, School of Medicine, Ajou University)
Publication Information
The Korean Journal of Pain / v.18, no.2, 2005 , pp. 161-164 More about this Journal
Abstract
Background: Chemical lumbar sympathetic ganglion block could potentially be used to treat plantar hyperhidrosis; therefore, we analyzed the outcome of lumbar sympathetic ganglion block using alcohol for the treatment of plantar hyperhidrosis. Methods: Between March 1992 and June 2003, 356 patients with plantar hyperhidrosis underwent lumbar sympathetic ganglion block using alcohol. All 356 patients were followed up for 2 years and the results evaluated. There were 185 and 171 male and female patients, respectively, with a mean age of 25.1 years, ranging from 15.3 to 56.5 years old. Lumbar sympathetic ganglion block using alcohol was performed with fluoroscopic guidance under local anesthesia. Results: The recurrence rate after 2 years was 34%. Compensatory hyperhidrosis, ejaculation failure, lower back pain and genitofemoral neuritis developed as complications in 132, 4, 12 and 2 patients, respectively. Of the 356 patients, 65% were satisfied. Conclusions: Lumbar sympathetic ganglion block using alcohol is an effective and safe method for the treatment of plantar hyperhidrosis, but more information about the complications and relatively high recurrence rates should be provided to the patient.
Keywords
alcohol; lumbar sympathetic ganglion block; plantar hyperhidrosis;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Eisenach JH, Atkins JL, Fealey RD: Hyperhidrosis: Evolving therapies for a well-established phenomenon. Mayo Clin Proc 2005; 80: 657-66.
2 Campos JR, Kauffman P, Campos E, Filho LO, Kusniek S, Wolosker N, er al: Quality of life, before and after Thoracic sympathectomy: Report on 378 operated patients. Ann Thorac Surg 2003; 76: 886-91.
3 Haider A, Solish N: Focal hyperhidrosis: diagnosis and management. Can Med Asso J 2005; 172: 69-75.
4 Yano M, Kiriyama M, Fukai I, Sakai H, Kobayashi Y, Mizuno K, et al: Endoscopic thoracic sympathectomy for palmar hyperhidrosis: Efficacy of T2 and T3 ganglion resection. Surgery 2005; 138: 40-5.
5 Baumgartner FJ, Toh Y: Severe hyperhidrosis: Clinical features and current thoracoscopic surgical management. Ann Thorac Surg 2003; 76: 1878-83.
6 Tseng MY, Tseng JH: Endoscopic extraperitoneal lumbar sympathectomy for plantar hyperhidrosis: case report. Journal of Clinical Neuroscience 2001; 8: 555-6.
7 Schick CH, Horbach T: Sequelae of endoscopic sympathetic block. Clin Auton Res 2003; 13: 36-9.
8 Dumont P, Denoyer A, Robin P: Long-term results of thoracoscopic sympathectomy for hyperhidrosis. Ann Thorac Surg 2004; 78: 1801-7.
9 Connolly M, Berker D: Management of primary hyperhidrosis: A summary of the different treatment modalities. Am J Clin Derrnato! 2003; 4: 681-97.
10 Hornberger J, Grimes K, Naumann M, Glaser DA, Lowe NJ, Naver H, et al: Recognirion, diagnosis, and treatment of primary focal hyperhidrosis. J Am Derrnatol 2004; 51: 274-86.
11 Seow CS, Doughty JC, Byrne DS: Chemical lumbar sympathetomy revisited: Survey of the current practice of vascular surgeons in Scotland. Eur J Surg 2000; 166: 380-2.
12 Atkins JL, Butler PE: Hyperhidrosis: A review of current management. Plast Reconstr Surg 2002; 110: 222-8.