The Korean Journal of Pain

The Korean Pain Society (대한통증학회)
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Stellate Ganglion Block for Shoulder Hand Syndrome following Hemiplegia

편마비후 발생한 견수 증후군에 대한 성상신경절차단

  • Yoon, Duck-Mi (Department of Anesthesiology, Yonsei University College of Medicine) ;
  • Oh, Hung-Kun (Department of Anesthesiology, Yonsei University College of Medicine) ;
  • Yoo, Eun-Sook (Department of Anesthesiology, Yonsei University College of Medicine) ;
  • Chung, So-Young (Department of Anesthesiology, Yonsei University College of Medicine)
  • 윤덕미 (연세대학교 의과대학 마취과학교실) ;
  • 오흥근 (연세대학교 의과대학 마취과학교실) ;
  • 유은숙 (연세대학교 의과대학 마취과학교실) ;
  • 정소영 (연세대학교 의과대학 마취과학교실)
  • Published : 1993.11.20
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Abstract

Shoulder Hand Syndrome is used to describe painful disabilities of the upper extremity due to disturbances of sympathetic nerve supply. A 72 year old male developed hemiplegia on left side on the 5 days after open heart surgery of aortic valve replacement. Three months later, the patient complained of severe pain in the left upper extremity involving shoulder. The left hand showed swelling and flaccid paralysis. Thereafter the left stellate garglion block with 10 ml of l% lidocaine produced prompt pain relief. Thereafter the patient received 94 stellate ganglion block during 7 months which produced permanent remission of pain throughout a 1 year follow period. We recommand sympathetic block for of Shoulder Hand Syndrome following hemiplegia.

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