• Der Schmerz · Dec 2023

    Case Reports

    [Electrotherapeutical stellate ganglion block on a patient with complex regional pain syndrome of the upper limb].

    • Alexander Ranker and Elke Behr-Eggers.
    • Klinik für Rehabilitationsmedizin, Medizinische Hochschule Hannover, Carl-Neuberg-Str. 1, 30625, Hannover, Deutschland. ranker.alexander@mh-hannover.de.
    • Schmerz. 2023 Dec 1; 37 (6): 468472468-472.

    AbstractThe case of a 51-year-old patient with complex regional pain syndrome (CRPS) of the left hand after radius distortion is reported. Anticonvulsant therapy was difficult in this case due to persisting epilepsy with already dual therapy (lamotrigine and brivaracetam) at high dosage. With existing neuropathic pain, pronounced allodynia and hyperhidrosis, repetitive transcutaneous monophasic electrotherapy was applied above the stellate ganglion. A ganglion blockage could not be clinically confirmed in the absence of Horner syndrome, but neuropathic pain and hyperhidrosis could be positively influenced. This case report summarizes the electrode positions used, current parameters, pitfalls and therapy limitations and discusses them in relation to the literature.© 2022. The Author(s).

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