A Novel Somatic Treatment for Post-traumatic Stress Disorder: A Case Report of Hydrodissection of the Cervical Plexus Using 5% Dextrose.
complex-ptsd
dextrose hydrodisssection
post traumatic stress disorder (ptsd)
ptsd diagnosis and treatment
veterans
Journal
Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737
Informations de publication
Date de publication:
Apr 2022
Apr 2022
Historique:
accepted:
06
04
2022
entrez:
12
4
2022
pubmed:
13
4
2022
medline:
13
4
2022
Statut:
epublish
Résumé
Despite years of standard treatments, a Marine veteran and former firefighter, disabled due to severe post-traumatic stress disorder (PTSD), worsened over ten weeks while receiving usual care. Bilateral injection of 10 mL of 5% dextrose in water using a 30-gauge needle just under the sternocleidomastoid muscle was performed at weeks 10, 12, 14, 16, and 18. Clinically important improvements were observed by 18 weeks on a 0-10 anxiety rating scale (57%), the PTSD checklist for civilians (41%), EuroQol overall quality of life scale (40%), and the Hospital Anxiety and Depression Scale (28%). Improvements were stable through 22 weeks. He reported symptomatic benefit on anxiety within 20 minutes of injection, suggesting a neurogenic mechanism, potentially related to a therapeutic effect on the nearby sympathetic trunk/superior sympathetic ganglion. Advantages of this procedure over stellate ganglion blockade include its safety (no lidocaine), bilateral treatment option, simplicity, and comfort.
Identifiants
pubmed: 35411286
doi: 10.7759/cureus.23909
pmc: PMC8988854
doi:
Types de publication
Case Reports
Langues
eng
Pagination
e23909Informations de copyright
Copyright © 2022, Reeves et al.
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
Références
Circ J. 2009 Oct;73(10):1909-13
pubmed: 19713654
J Pain Res. 2020 Aug 04;13:1957-1968
pubmed: 32801851
J Altern Complement Med. 2018 Dec;24(12):1189-1196
pubmed: 29883193
Clin Ther. 2008 May;30(5):974-85
pubmed: 18555944
J Neuropathol Exp Neurol. 2004 Mar;63(3):246-54
pubmed: 15055448
Arch Gen Psychiatry. 2005 Jun;62(6):629-40
pubmed: 15939840
Asian Spine J. 2018 Feb;12(1):80-84
pubmed: 29503686
Front Pharmacol. 2021 Mar 05;11:621150
pubmed: 33746745
PLoS One. 2016 Oct 10;11(10):e0161645
pubmed: 27723815
Int Clin Psychopharmacol. 2006 Jan;21(1):29-33
pubmed: 16317314
Arch Phys Med Rehabil. 2020 Aug;101(8):1296-1303
pubmed: 32325164
Ann Neurol. 2018 Oct;84(4):601-610
pubmed: 30187524
Curr Pain Headache Rep. 2019 Nov 28;23(12):91
pubmed: 31781875
Anesthesiology. 1992 Apr;76(4):617-23
pubmed: 1550287
Psychiatr Q. 2018 Mar;89(1):141-155
pubmed: 28634644
J Clin Psychol. 2012 Jun;68(6):699-713
pubmed: 22517497
Eur Spine J. 2008 Aug;17(8):991-5
pubmed: 18548289
Br J Anaesth. 2003 Nov;91(5):733-5
pubmed: 14570798
PLoS Med. 2020 Aug 19;17(8):e1003262
pubmed: 32813696
Mayo Clin Proc. 2019 May;94(5):820-832
pubmed: 30878157
Muscle Nerve. 2019 Feb;59(2):174-180
pubmed: 30339737
Radiol Oncol. 2022 Feb 11;56(1):14-22
pubmed: 35148471
Cell. 2014 Feb 13;156(4):825-35
pubmed: 24529383
Br J Clin Psychol. 2007 Mar;46(Pt 1):1-18
pubmed: 17472198
Qual Life Res. 2020 Sep;29(9):2541-2551
pubmed: 32277337
J Psychosom Res. 2002 Feb;52(2):69-77
pubmed: 11832252
Psychol Assess. 2000 Jun;12(2):210-24
pubmed: 10887767
Int J Mol Sci. 2021 Nov 16;22(22):
pubmed: 34830240
JEMS. 2015 Oct;40(10):30-4
pubmed: 26669064
Mayo Clin Proc. 2017 Aug;92(8):1179-1189
pubmed: 28778254
J Cardiopulm Rehabil Prev. 2019 Nov;39(6):E6-E11
pubmed: 30489438
Pharmaceuticals (Basel). 2020 Mar 18;13(3):
pubmed: 32197544
Clin Psychol Rev. 2018 Feb;59:137-144
pubmed: 29180101
Pain Pract. 2017 Apr;17(4):546-553
pubmed: 27739175
Biomed Res Int. 2017;2017:7920438
pubmed: 29226148
Psychol Assess. 2018 Mar;30(3):383-395
pubmed: 28493729
PLoS One. 2021 Mar 10;16(3):e0246454
pubmed: 33690641
Front Behav Neurosci. 2018 Nov 02;12:258
pubmed: 30450043
Depress Anxiety. 2009;26(8):724-31
pubmed: 19544313
Health Qual Life Outcomes. 2008 Jul 02;6:46
pubmed: 18597689
Biol Psychiatry. 2000 Nov 1;48(9):894-901
pubmed: 11074227
J Anxiety Disord. 2020 Apr;71:102198
pubmed: 32109828
Korean J Spine. 2014 Sep;11(3):178-82
pubmed: 25346765
Eur J Pain. 2004 Aug;8(4):283-91
pubmed: 15207508
Anesth Pain Med. 2016 Dec 06;7(1):e42550
pubmed: 28920043