Stellate ganglion block catheter for paroxysmal sympathetic hyperactivity: calming the 'neuro-storm'

被引：5
|
作者：
Lee, Man-Cheung [1 ]
Bartuska, Andrew [1 ]
Chen, Jeffrey [1 ]
Kim, Richard K. [1 ]
Jaradeh, Safwan [2 ]
Mihm, Fred [1 ,3 ]
机构：
[1] Stanford Univ, Anesthesiol Perioperat & Pain Med, Sch Med, Stanford, CA 94305 USA
[2] Stanford Univ, Neurol & Neurol Sci, Sch Med, Stanford, CA 94305 USA
[3] Stanford Univ, Sch Med, Stanford, CA 94305 USA
来源：
REGIONAL ANESTHESIA AND PAIN MEDICINE | 2023年 / 48卷 / 10期
关键词：
Autonomic Nerve Block; Neurologic Manifestations; REGIONAL ANESTHESIA; ACQUIRED BRAIN-INJURY; NERVE GROWTH-FACTOR; DYSAUTONOMIA;
D O I：
10.1136/rapm-2023-104399
中图分类号：
R614 [麻醉学];
学科分类号：
100217 ;
摘要：
BackgroundParoxysmal sympathetic hyperactivity (PSH) is an autonomic disorder affecting patients with severe acquired brain injury characterized by intermittent sympathetic discharges with limited therapeutic options. We hypothesized that the PSH pathophysiology could be interrupted via stellate ganglion blockade (SGB). Case presentationA patient with PSH after midbrain hemorrhage followed by hydrocephalus obtained near-complete resolution of sympathetic events for 140 days after SGB. ConclusionSGB is a promising therapy for PSH, overcoming the limitations of systemic medications and may serve to recalibrate aberrant autonomic states.
引用
收藏
页码：522 / 525
页数：4
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