Citation

Liu Q, Zhong Q, Tang G, Ye L. J. Pain Res. 2020; 13: 461-464.

Copyright

(Copyright © 2020, Dove Press)

DOI

10.2147/JPR.S236812

PMID

unavailable

Abstract

BACKGROUND: Central post-stroke pain (CPSP) is refractory to pharmacotherapy (eg, NSAIDs, opioids, antidepressants, and anticonvulsants), and may require transcranial or deep brain stimulation. Case Presentation: A 67-year-old woman presented with severe paroxysmal cramp-like pain on the right side, including the head and both upper and lower extremities. The pain started 5 years earlier, was initially mild and occasional, but gradually intensified to an unbearable degree with an average of 10-15 daily episodes, each lasting for 5-10 mins. The patient disclosed "hemorrhagic stroke" 10 years ago that resulted in hemiplegia on the right side. CT examination verified the lesion. The patient received daily injection of 2-mL 2% lidocaine under ultrasound guidance to block the stellate ganglion. Pain subsided rapidly in both intensity and frequency. On the seventh day, the patient no longer had pain episodes. At the last follow-up, 9 months later, the patient was free from pain.

CONCLUSION: Ultrasound-guided stellate ganglion block is a viable alternative for CPSP that is refractory to pharmacotherapy. © 2020 Liu et al.

Language: en

Keywords

human; suicide; female; aged; Ultrasound; case report; depression; clinical article; Stroke; anxiety disorder; nuclear magnetic resonance imaging; cerebrovascular accident; nonsteroid antiinflammatory agent; tramadol; follow up; computer assisted tomography; lidocaine; hypertension; gabapentin; duloxetine; brain hemorrhage; visual analog scale; neuropathic pain; Article; Hospital Anxiety and Depression Scale; tendon reflex; muscle tone; hemosiderosis; ultrasound therapy; hemiplegia; Barthel index; pain intensity; central post stroke pain; Central post-stroke pain; Cramp-like pain; stellate ganglion block; Stellate ganglion block; ultrasound guided stellate ganglion block