Stellate Ganglion Block for Painful Congenital Venous Malformation of the Arm

Woo, Adam; Tharakan, Liza; Vargulescu, R.

doi:10.1111/papr.12296

Cited by 8 publications

(3 citation statements)

References 14 publications

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“…2 Most previously reported cases were diagnosed after 2 years of age, with the exception of two neonatal cases of Klippel-Trenaunay syndrome. 2,6,7 In contrast, in our case, VM was obvious at birth owing to its large size, despite the lack of signs of Klippel-Trenaunay syndrome.…”

Section: Discussioncontrasting

confidence: 83%

Lethal prognosis of an infant with intraperitoneal large venous malformation

Ouchi

Tsuchiya

Iehara

et al. 2021

Journal of Vascular Surgery Cases, Innovations and Techniques

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This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

show abstract

Section: Discussioncontrasting

confidence: 83%

Lethal prognosis of an infant with intraperitoneal large venous malformation

Ouchi

Tsuchiya

Iehara

et al. 2021

Journal of Vascular Surgery Cases, Innovations and Techniques

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show abstract

“…Its indications are wide, ranging from Raynaud disease, hot flashes to a series of pain conditions such as complex regional pain syndrome, atypical facial pain, and upper extremity pain. [ 7 ] Although the mechanisms underlying the effect of stellate ganglion block on various pathologies is not completely understood, it is conceivable and plausible that wide indication implies wide ranges of mechanisms as sympathetic nervous system is interconnected throughout the whole body.…”

Section: Discussionmentioning

confidence: 99%

Thalamic pain alleviated by stellate ganglion block

et al. 2017

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Rationale:Thalamic pain is a distressing and treatment-resistant type of central post-stroke pain. Although stellate ganglion block is an established intervention used in pain management, its use in the treatment of thalamic pain has never been reported.Patient concerns:A 66-year-old woman presented with a 3-year history of severe intermittent lancinating pain on the right side of the face and the right hand. The pain started from the ulnar side of the right forearm after a mild ischemic stroke in bilateral basal ganglia and left thalamus. Weeks later, the pain extended to the dorsum of the finger tips and the whole palmar surface, becoming more severe. Meanwhile, there was also pain with similar characteristics emerging on her right face, resembling atypical trigeminal neuralgia.Diagnoses:Thalamic pain was diagnosed.Interventions:After refusing the further invasive treatment, she was suggested to try stellate ganglion block.Outcomes:After a 3-day period of pain free (numerical rating scale: 0) postoperatively, she reported moderate to good pain relief with a numerical rating scale of about 3 to 4 lasting 1 month after the first injection. Pain as well as the quality of life was markedly improved with less dose of analgesic agents.Lessons:Stellate ganglion block may be an optional treatment for thalamic pain.

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“…Most recently a meta-analysis concluded that SGB improved postoperative gastrointestinal function recovery in surgical patients who underwent general anesthetics. [ 61 ] Case reports have also identified a positive benefit from SGB in the treatment of upper limb erythromelalgia,[ 62 ] upper limb ischemia,[ 63 64 ] pain from vasculitis,[ 65 ] painful congenital venous malformations of the arm,[ 66 ] persistent hiccups,[ 67 ] thalamic pain,[ 68 ] central post-stroke pain,[ 69 ] abducens palsy,[ 70 ] palmar hyperhidrosis,[ 71 ] refractory migraine,[ 72 ] refractory tension headache[ 73 ] and various types of orofacial pain. [ 74 75 ]…”

Section: Reviewmentioning

confidence: 99%

Stellate ganglion block beyond chronic pain: A literature review on its application in painful and non-painful conditions

Singh

Rajarathinam

2023

Journal of Anaesthesiology Clinical Pharmacology

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Cervical sympathetic or stellate ganglion blocks (SGBs) have been commonly used in the treatment of painful conditions like complex regional pain syndrome (CRPS). However, there is literature to suggest its utility in managing non-painful conditions as well. The focus of this literature review is to provide an overview of indications for SGB for painful and non-painful conditions. We identified published journal articles in the past 25 years from Embase and PubMed databases with the keywords “cervical sympathetic block, stellate ganglion blocks, cervical sympathetic chain, and cervical sympathetic trunk”. A total of 1556 articles were obtained from a literature search among which 311 articles were reviewed. Among painful conditions, there is a lack of evidence in favor of or against the use of SGB for CRPS despite its common use. SGB can provide postoperative analgesia in selective surgeries and can be effective in temporary pain control of refractory angina and the acute phase of herpes zoster infection. Among non-painful conditions, SGB may have beneficial effects on the management of post-traumatic stress disorder (PTSD), refractory ventricular arrhythmias, hot flashes in postmenopausal women, and breast cancer–related lymphedema. Additionally, there have been various case reports illustrating the benefits of SGB in the management of cerebral vasospasm, upper limb erythromelalgia, thalamic and central post-stroke pain, palmar hyperhidrosis, orofacial pain, etc. In our review of literature, we found that SGB can be useful in the management of various non-painful conditions beyond the well-known treatment for CRPS, although further studies are required to prove its efficacy.

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Stellate Ganglion Block for Painful Congenital Venous Malformation of the Arm

Cited by 8 publications

References 14 publications

Lethal prognosis of an infant with intraperitoneal large venous malformation

Lethal prognosis of an infant with intraperitoneal large venous malformation

Thalamic pain alleviated by stellate ganglion block

Stellate ganglion block beyond chronic pain: A literature review on its application in painful and non-painful conditions

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