CASE REPORT
Year : 2015  |  Volume : 9  |  Issue : 4  |  Page : 470-473

Stellate ganglion pulsed radiofrequency ablation for stretch induced complex regional pain syndrome type II


Department of Neuroanesthesia and Pain Medicine, Fortis Hospital, Noida, Uttar Pradesh, India

Correspondence Address:
Shiv Pratap Singh Rana
Flat 33, BPCL Apartment, Plot B-9/5, Sector 62, Noida - 201 301, Uttar Pradesh
India
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Source of Support: Palomero Rodriguez MA, Palacio Abinzada FJ, Chacón Campollo S, Laporta Báez Y, Méndez Cendón JC, López García A. Transient bladder and fecal incontinence following epidural blood patch. Saudi J Anaesth,, Conflict of Interest: None


DOI: 10.4103/1658-354X.159480

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Complex regional pain syndrome (CRPS) following injury or nerve damage, as its name signifies, is a challenging entity, and its successful management requires a multidisciplinary approach. It not only manifests as severe pain, but also gives rise to functional disability, lack of sleep, lack of enjoyment of life and poor quality of life. Various pain interventional techniques have been described in the literature for the management of CRPS ranging from sympathetic blocks to spinal cord stimulator. A 34-year-old liver transplant donor, who developed position-induced right upper limb neuropathic pain suggestive of CRPS type II was managed initially with medications and later with stellate ganglion block under fluoroscopic guidance at cervical C7 position. Following an initial significant improvement in pain and allodynia, which was transient, a pulsed radiofrequency ablation of stellate ganglion was performed successfully to provide prolonged and sustained pain relief, which persisted up to 14 months of follow-up.


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