Second thoracic sympathetic ganglionectomy in sympathetically maintained pain.
case_series · Level IV
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- Record sourced from PubMed, PMID 7525779.
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Abstract
Twenty-four individuals with sympathetically maintained pain were treated by posterior paravertebral T2 sympathectomy following transient response to sympathetic nerve blockade. Eight surgical patients (33.4%) had causalgia, and 16 patients (66.4%) suffered with reflex sympathetic dystrophy. Overall, physical evidence of improvement was noted in 87% of surgical patients, with subjective improvement in 71%. Reflex sympathetic dystrophy patients fared better than those with causalgia. Complications were minor. The techniques employed appear safe and effective; a multidisciplinary approach with neurosurgery, physiatry, anesthesiology, psychology, and allied health services is recommended.
Medical subject headings
- Ganglionectomy
- Pain
- Palliative Care
- Sympathetic Nervous System
- Thoracic Vertebrae