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

Humans Autonomic Nerve Block Stellate Ganglion Female Middle Aged
Autonomic Nerve Block Neurologic Manifestations REGIONAL ANESTHESIA

Journal

Regional anesthesia and pain medicine
ISSN: 1532-8651
Titre abrégé: Reg Anesth Pain Med
Pays: England
ID NLM: 9804508

Informations de publication

Date de publication:
10 2023
Historique:
received: 01 02 2023
accepted: 12 05 2023
medline: 25 8 2023
pubmed: 26 5 2023
entrez: 25 5 2023
Statut: ppublish

Résumé

Paroxysmal 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). A patient with PSH after midbrain hemorrhage followed by hydrocephalus obtained near-complete resolution of sympathetic events for 140 days after SGB. SGB is a promising therapy for PSH, overcoming the limitations of systemic medications and may serve to recalibrate aberrant autonomic states.

Sections du résumé

BACKGROUND
Paroxysmal 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 PRESENTATION
A patient with PSH after midbrain hemorrhage followed by hydrocephalus obtained near-complete resolution of sympathetic events for 140 days after SGB.
CONCLUSION
SGB is a promising therapy for PSH, overcoming the limitations of systemic medications and may serve to recalibrate aberrant autonomic states.

Identifiants

DOI: 10.1136/rapm-2023-104399 PMID: 37230754
pubmed: 37230754
pii: rapm-2023-104399
doi: 10.1136/rapm-2023-104399
doi:

Types de publication

Case Reports Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

522-525

Informations de copyright

© American Society of Regional Anesthesia & Pain Medicine 2023. No commercial re-use. See rights and permissions. Published by BMJ.

Déclaration de conflit d'intérêts

Competing interests: None declared.

Auteurs

Man-Cheung Lee (MC)

Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, California, USA.

Andrew Bartuska (A)

Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, California, USA.

Jeffrey Chen (J)

Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, California, USA.

Richard K Kim (RK)

Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, California, USA.

Safwan Jaradeh (S)

Neurology and Neurological Sciences, Stanford University School of Medicine, Stanford, California, USA.

Fred Mihm (F)

Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, California, USA fmihm@stanford.edu.
ORCID: 0000-0002-2442-9325

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Classifications MeSH

questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Stellate ganglion block catheter for...
questionsmedicales.fr › Procédures de chirurgie opératoire › Procédures de neurochirurgie › Dénervation › Bloc nerveux › Bloc anesthésique du système nerveux autonome › Stellate ganglion block catheter for...
questionsmedicales.fr › Système nerveux › Système nerveux périphérique › Système nerveux autonome › Système nerveux sympathique › Ganglions sympathiques › Ganglion cervicothoracique › Stellate ganglion block catheter for...
questionsmedicales.fr › Personnes › Tranches d'âge › Adulte › Adulte d'âge moyen › Stellate ganglion block catheter for...