Second thoracic sympathetic ganglionectomy in sympathetically maintained pain

作者: David A. Herz , Janice E. Looman , Ronald D. Ford , Mark L. Gostine , Fred N. Davis

DOI: 10.1016/0885-3924(93)90191-W

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摘要: Twenty-four individuals with sympathetically maintained pain were treated by posterior paravertebral T2 sympathectomy following transient response to sympathetic nerve blockade. Eight surgical patients (33.4%) had causalgia, and 16 (66.4%) suffered reflex dystrophy. Overall, physical evidence of improvement was noted in 87% patients, subjective 71%. Reflex dystrophy fared better than those causalgia. Complications minor. The techniques employed appear safe effective; a multidisciplinary approach neurosurgery, physiatry, anesthesiology, psychology, allied health services is recommended.

参考文章(51)
Prithvi Raj, Jeffrey Cannella, Jennifer Kelly, Karen McConn, Patricia Lowry, Multi-disciplinary Management of Reflex Sympathetic Dystrophy Springer, Boston, MA. pp. 165- 172 ,(1990) , 10.1007/978-1-4613-0685-6_17
H. Steinert, O. Nickel, K. Hahn, Three-Phase Bone Scanning in Reflex Sympathetic Dystrophy Springer, Boston, MA. pp. 177- 185 ,(1990) , 10.1007/978-1-4613-0685-6_18
Stephen E. Abram, Reflex Sympathetic Dystrophy: Incidence and Epidemiology Springer, Boston, MA. pp. 9- 15 ,(1990) , 10.1007/978-1-4613-0685-6_2
Ronald R. Tasker, Reflex Sympathetic Dystrophy-Neurosurgical Approaches Springer, Boston, MA. pp. 125- 134 ,(1990) , 10.1007/978-1-4613-0685-6_13
Salim Y Ghostine, Youssef G Comair, Donn M Turner, Neal F Kassell, Camille G Azar, None, Phenoxybenzamine in the treatment of causalgia: Report of 40 cases Journal of Neurosurgery. ,vol. 60, pp. 1263- 1268 ,(1984) , 10.3171/JNS.1984.60.6.1263
Franklin Kozin, Lawrence M. Ryan, Guillermo F. Carerra, Jagmeet S. Soin, Robert L. Wortmann, The reflex sympathetic dystrophy syndrome (RSDS) The American Journal of Medicine. ,vol. 70, pp. 23- 30 ,(1981) , 10.1016/0002-9343(81)90407-1
Paul G. Flothow, George W. Swift, Surgery of the sympathetic nervous system American Journal of Surgery. ,vol. 21, pp. 345- 357 ,(1930) , 10.1016/S0002-9610(33)90984-8
Bronson S. Ray, Sympathectomy of the upper extremity; evaluation of surgical methods. Journal of Neurosurgery. ,vol. 10, pp. 624- 633 ,(1953) , 10.3171/JNS.1953.10.6.0624
Frank D. Manart, Theodore R. Sadler, Edward A. Schmitt, W.Gerald Rainer, Upper dorsal sympathectomy American Journal of Surgery. ,vol. 150, pp. 762- 766 ,(1985) , 10.1016/0002-9610(85)90425-8