The success rate and associated risk factors of CT-guided percutaneous radiofrequency sympathectomy in the treatment of primary hyperhidrosis: A retrospective observational trial

Han, Zixin; Rui, Min; Ni, Chaobo; Zhu, Jianjun; Xu, Longsheng; Yao, Ming

doi:10.1016/j.jocn.2023.10.010

Cited by 1 publication

(1 citation statement)

References 27 publications

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“…The patient was returned to the ward when vital signs were stable. Studies have shown [57][58][59] that CT-guided lower back sympathetic RF thermocoagulation has been gradually applied to the treatment of many autonomic nerve diseases, such as plantar hyperhidrosis (PH), cold hypersensitivity (CH), and diabetic peripheral neuropathy (DPN). Another study reported [60,61] that lumbar sympathetic radiofrequency thermocoagulation achieved a lasting effect in the treatment of CRPS, with a pain relief rate of 91.7% at three months and 83.3% at six months after treatment.…”

Section: Radiofrequency Thermocoagulation Of Thoracic Sympathetic Nervementioning

confidence: 99%

Advances in the Treatment of Neuropathic Pain by Sympathetic Regulation

Xu,

Fan,

Zhang

et al. 2024

Curr Pain Headache Rep

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Purpose of Review To explore the mechanism and therapeutic effect of sympathetic nerve regulation on neuropathic pain. Recent Findings A comprehensive search was conducted in the PubMed and CNKI libraries, using the following keywords: stele ganglion block, neuropathic pain, sympathetic nerve block, sympathetic chemical destruction, and sympathetic radiofrequency thermocoagulation. We selected and critically reviewed research articles published in English that were related to sympathetic modulation in the treatment of neuropathic pain. The collected literature will be classified according to content and reviewed in combination with experimental results and clinical cases. Neuropathic pain was effectively treated with sympathetic regulation technology. Its mechanism includes the inhibition of sympathetic nerve activity, regulation of the inflammatory response, and inhibition of pain transmission, which greatly alleviates neuropathic pain in patients. Stellate ganglion blocks, thoracic and lumbar sympathectomies, chemical destruction, and radiofrequency thermocoagulation have been widely used to treat neuropathic pain. Summary Sympathetic regulation can effectively relieve pain symptoms and improve the patient's quality of life by inhibiting sympathetic nerve activity, reducing the production and release of pain-related mediators, and inhibiting pain transmission. CT-guided radiofrequency thermocoagulation of the thoracic and lumbar sympathetic nerves is effective and durable, with few complications, and is recommended as a treatment for intractable neuropathic pain.

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Section: Radiofrequency Thermocoagulation Of Thoracic Sympathetic Nervementioning

confidence: 99%