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- P Petriccione di Vadi and W Hamann.
- Department of Anaesthetics, Guy's Hospital, London, England.
- Clin J Pain. 1991 Sep 1; 7 (3): 230-1.
AbstractA 74-year-old woman with peripheral vascular disease suffered from rest pain in the right big toe and intermittent claudication. Because of concomitant venous congestion, a chemical lumbar sympathectomy was considered to carry an increased risk of leg edema. A continuous lumbar sympathetic block with local anesthetic abolished the pain in the toe without side effects. After this reversible block, a chemical lumbar sympathectomy was performed producing pain relief for 4 weeks when the patient was last seen.
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