The Korean Journal of Pain

The Korean Pain Society (대한통증학회)
권호 표지

Pulsed Radiofrequency Lesioning of the Stellate Ganglion in Raynaud's Syndrome -A case report-

레이노증후군 환자에서 시행한 성상신경절의 Pulsed Radiofrequency 치료 경험 -증례 보고-

Kwon, Young-Eun;Park, Pyung-Seok;Yoon, Chae-Sik;Lee, Jun-Hak
권영은;박평석;윤채식;이준학

  • Published : 20020000
⟨ Previous Next ⟩

Abstract

Raynaud's phenomenon is an intermittent attack of ischemia of the extremities of the body, particularly the fingers, toes, ears, and nose, which is caused by exposure to cold or emotional stimuli. A stellate ganglion block is useful for diagnosing and treating various vascular compromises of the upper extremities due to Raynaud's disease, frostbite, or other forms of vascular insufficiency. Radiofrequency (RF) lesioning may be used for selective neuroablative procedures for treating various chronic pain disorders. Recently, the advent of pulsed RF lesioning has made this treatment safer, which has significantly increased its utility. We experienced a patient with Raynaud's syndrome who was successfully treated with pulsed RF lesioning of the stellate ganglion. The treatment was tolerated well without any related complications after 2 months.

Keywords

References

  1. Allen EV, Brown GE: Raynaud's disease: a critical review of minimal requisites for diagnosis. Am J Med Sci 1932; 183: 187-200
  2. Bogduk NB, Macintosh J. Marsland A: Technical limitations to the efficacy of radiofrequency neurotomy for spinal pain. Neurosurgery 1987; 20: 529-35
  3. Sluijter ME, Cosman ER, Rittman WB, Van Kleef M: The effects of pulsed radiofrequency fields applied to the dorsal root ganglion-a preliminary report. Pain Clin 1998; 11: 109·17
  4. Johansen KH: Pain due to vascular disease. Bonica's management of pain, 3rd ed. Edited by Loeser JD. Philadelphia. Lippincott Williams & Wilkins. 2001. pp 604-6
  5. Thomas D, Cullman D, Siahamis G, Langlois S: Infrared thermographic imaging. magnetic resonance imaging, CT scan and myelography in low back pain. Br J Rheumatol 1990; 29: 268-73
  6. Raj PP, Anderson SR: Stellate ganglion block. Interventional pain management, 2nd ed. Edited by Waldman SD. Philadelphia. Saunders. 2001, pp 363-72
  7. 김태요: 성상 신경절 차단. 통증의학, 둘째판. 대한통증학회. 서울. 군자출판사. 2000, 370-7
  8. Geurts JWM, Stolker RJ: Percutaneous radiofrequency lesion of stellate ganglion in the treatment of pain in upper extremity reflex sympathetic dystrophy. Pain Clin 1993; 6: 17-25
  9. Kirschner M: Zur elektrochirurgie. Arch Klin Chir 1931; 167: 761
  10. Sluijter ME: Radiofrequency Part 1. Meggen, Flivo press. 2001, pp 49-72
  11. Sluijter ME. van Kleef M: Characteristics and mode of action of radiofrequency lesions. Curr Rev Pain 1998; 2: 143-50
  12. Forouzanfar T, van Kleef M, Weber WE: Radiofrequency lesions of the stellate ganglion in chronic pain syndromes: retrospective analysis of clinical efficacy in 86 patients. Clin J Pain 2000; 16: 164-8
  13. Williams AL, Murtagh FR: Handbook of diagnosis and therapeutic spine procedures. St. Louis, Mosby. 2002. pp 41-59