Percutaneous t2 and t3 radiofrequency sympathectomy for complex regional pain syndrome secondary to brachial plexus injury: a case series.

作者: Chee Kean Chen , Vui Eng Phui , Abd Jalil Nizar , Sow Nam Yeo

DOI: 10.3344/KJP.2013.26.4.401

关键词:

摘要: Complex regional pain syndrome secondary to brachial plexus injury is often severe, debilitating and difficult manage. Percuteneous radiofrequency sympathectomy a relatively new technique, which has shown promising results in various chronic disorders. We present four consecutive patients with complex for more than 6 months duration, who had undergone percutaneous T2 T3 after diagnostic block. All experienced minimal relief conservative treatment stellate ganglion blockade. An acceptable month was achieved all 4 where score remained less 50% that of initial oral analgesics were able be tapered down. There no complications attributed this procedure reported. From case series, might play significant role multi-modal approach CRPS management.

参考文章(15)
Marco Rizzo, Scott Balderson, David H Harpole, L Scott Levin, Thoracoscopic sympathectomy in the management of vasomotor disturbances and complex regional pain syndrome of the hand. Orthopedics. ,vol. 27, pp. 49- 52 ,(2004) , 10.3928/0147-7447-20040101-18
David A. Herz, Janice E. Looman, Ronald D. Ford, Mark L. Gostine, Fred N. Davis, W.Christian Vandenberg, Second thoracic sympathetic ganglionectomy in sympathetically maintained pain Journal of Pain and Symptom Management. ,vol. 8, pp. 483- 491 ,(1993) , 10.1016/0885-3924(93)90191-W
D. J. McCormack, A. C. McCormack, O. A. Jarral, A. R. Shipolini, Does the nerve of Kuntz exist Interactive Cardiovascular and Thoracic Surgery. ,vol. 13, pp. 175- 178 ,(2011) , 10.1510/ICVTS.2011.269050
R BOAS, Sympathetic nerve blocks: In search of a role Regional Anesthesia and Pain Medicine. ,vol. 23, pp. 292- 305 ,(1998) , 10.1016/S1098-7339(98)90058-X
Harold A. Wilkinson, Percutaneous radiofrequency upper thoracic sympathectomy. Neurosurgery. ,vol. 38, pp. 715- 725 ,(1996) , 10.1227/00006123-199604000-00017
M. HTUT, P. MISRA, P. ANAND, R. BIRCH, T. CARLSTEDT, Pain phenomena and sensory recovery following brachial plexus avulsion injury and surgical repairs. Journal of Hand Surgery (European Volume). ,vol. 31, pp. 596- 605 ,(2006) , 10.1016/J.JHSB.2006.04.027
L Ramsaroop, P Partab, B Singh, KS1468385 Satyapal, None, Thoracic origin of a sympathetic supply to the upper limb: the 'nerve of Kuntz' revisited. Journal of Anatomy. ,vol. 199, pp. 675- 682 ,(2001) , 10.1046/J.1469-7580.2001.19960675.X
Won Young Kim, Dong Eon Moon, Jin Hwan Choi, Chong Min Park, Seong Min Han, Shi Hyeon Kim, The Effect of Spinal Cord Stimulation in Patients with Complex Regional Pain Syndrome The Korean Journal of Pain. ,vol. 19, pp. 152- 158 ,(2006) , 10.3344/KJP.2006.19.2.152
Munetaka Hirose, Mari Tabata, Mikako Sakai, Kenji Takeuchi, C-arm fluoroscopic cone-beam CT for guidance of chemical thoracic sympathectomy Journal of Anesthesia. ,vol. 25, pp. 142- 143 ,(2011) , 10.1007/S00540-010-1053-8