Stellate ganglion blockade by radiofrequency lesioning
G. K. Talu1, S. Özyalçın2, A. Yücel,3, S. Erdine3
1İstanbul Üniversitesi İstanbul Tıp Fakültesi, Algoloji Bilim Dalı, Uzm. Dr.
2İstanbul Üniversitesi İstanbul Tıp Fakültesi, Algoloji Bilim Dalı, Doç. Dr.
3İstanbul Üniversitesi İstanbul Tıp Fakültesi, Algoloji Bilim Dalı, Prof. Dr.
Keywords: Stellate ganglion, radiofrequency thermocoagulation,sympathetic pain
Abstract
The stellate ganglion is formed by the fusion of the inferior cervical and first thoracic paravertebral smpathetic ganglia. Blockade of stellate ganglion is used for the treatment of painful /nonpainful pathologies of face, shoulder and upper extremity. We have retrospectively evaluated the outcome efficacy and complications of SGB with radiofrequency thermocoagulation in patients who admitted to Algology Department between Jan. 1999 and Sep. 2000 suffering from upper extremity pain due to various reasons. RFTC of SG was performed to patients who responded positively to 2 of the 3 prognostic SGB with either the occurance of Horner Syndrome or heat increase in thermographic evaluation. The VAS values were evaluated before, 3 months and 6 months later. The opioid consumption of the patients were evaluatedat the end of the 6th month. The VAS values of the patients were found to be significantly lower at the end of the 6th month.To 23 patients who had no pain relief or short pain relief, the procedure was repeated. 11 were treated with different treatment options. We conclude that application of radiofrequency thermocoagulation to stellate ganglion is an effective and safe method of analgesia