Endoscopic Thoracic Sympathectomy for Primary Erythromelalgia in the Upper Extremities

Shiga, Toshiya; Sakamoto, Atsuhiro; Koizumi, Kiyoshi; Ogawa, Ryō

doi:10.1097/00000539-199904000-00034

Cited by 14 publications

(8 citation statements)

References 11 publications

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“…For sympathetic blockade, different methods and agents (local anesthetics, phenol, corticosteroids, clonidine) have been used. Various methods of enhancing the success of blockade are recommended to increase the precision of the target, including fluoroscopy and computed tomography–guided procedures 77–80…”

Section: Pharmacotherapymentioning

confidence: 99%

Current pain management strategies for patients with erythromelalgia: a critical review

Tham¹,

Giles²

2018

JPR

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Erythromelalgia (EM) is a rare disorder characterized by erythematous, warm, painful extremities, which is often precipitated by cold conditions. The pathophysiology of EM is incompletely understood. Recent investigations have identified sodium channelopathy as a genetic cause for this pain condition, classified as primary inherited EM. Other subtypes are idiopathic EM and secondary EM. The management of pain in EM is challenging as no single therapy has been found to be effective. There is varying response to pharmacotherapy and significant variability within this clinical population, resulting in a stepwise trial and error approach. Consequently, EM is often associated with poorer health-related quality of life with higher morbidity. There is currently no consensus or guidelines on management of pain in EM. This is a review of the literature on management of pain using pharmacologic, procedural intervention and nonpharmacologic treatment in children and adults with EM.

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Section: Pharmacotherapymentioning

confidence: 99%

Current pain management strategies for patients with erythromelalgia: a critical review

Tham¹,

Giles²

2018

JPR

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“…Endoscopic approach is being used for many surgeries nowadays. But the use of Endoscopic Thoracic Sympathectomy for the management of Complex Regional Pain Syndrome (CRPS) has not been well documented 7,8 .…”

Section: Discussionmentioning

confidence: 99%

Endoscopic thoracic sympathectomy(ETS) for complex regional pain syndrome(CRPS)

Pinto¹,

Galketiya²,

Gamage

et al. 2013

Sri Lankan J Anaesthesiol

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Complex Regional Pain Syndrome (CRPS) is a condition characterized by chronic burning pain, swelling and colour changes commonly affecting hands. We report a case of CRPS in a 26 year-old female in whom non-operative therapy had failed, with full degree of pain relief achieved by Endoscopic Thoracic Sympathectomy. Her peroperative period was uncomplicated and symptoms were improved immediately after the surgery. In the post-operative period she developed a pneumothorax, a known complication of the procedure.

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“…Hereinafter, the patient did not experience pain for 9 months. Shiga et al [16] performed a thoracic sympathectomy on a erythromelalgia patient who suffered from severe pain in both hands and the pain was relieved immediately. Although a sympathetic block alleviates symptoms in some patients, in other cases it worsens their condition.…”

Section: Discussionmentioning

confidence: 99%

Sympathetic Block for Treating Primary Erythromelalgia

et al. 2010

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Primary erythromelalgia is a rare condition that's characterized by erythema, an increased skin temperature and burning pain in the extremities. The pain is often very severe, and treating erythromelalgia is frustrating and difficult. We report here on the case of a 12-year old girl with primary erythromelalgia in both lower extremities. The pain was refractory to medical treatment, but a bilateral sympathetic block with lidocaine and triamcinolone resulted in relief from the pain. Our experience with this disease demonstrates that sympathetic blocks are effective in improving the symptoms and they may be attempted on erythromelalgia patients who do not respond to other treatments, including medication and epidural blocks.

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Endoscopic Thoracic Sympathectomy for Primary Erythromelalgia in the Upper Extremities

Cited by 14 publications

References 11 publications

Current pain management strategies for patients with erythromelalgia: a critical review

Current pain management strategies for patients with erythromelalgia: a critical review

Endoscopic thoracic sympathectomy(ETS) for complex regional pain syndrome(CRPS)

Sympathetic Block for Treating Primary Erythromelalgia

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