Relief of recurrent upper extremity sympathetically-maintained pain with contralateral sympathetic blocks: Evidence for crossover sympathetic innervation?

Marc A. Valley, James N. Rogers, David W. Gale

Research output: Contribution to journalArticlepeer-review

10 Scopus citations

Abstract

A case of recurrent right upper extremity sympathetically maintained pain was completely relieved with contralateral sympathetic blocks. Yet Ipsilateral blocks produced no change in pain. Surgical sympathectomy of the contralateral thoracic sympathetic chain produced significant and persistent pain relief. This case, to our knowledge the first such reported, noises questions regarding the accepted sympathetic innervation of the upper extremity.

Original languageEnglish (US)
Pages (from-to)396-400
Number of pages5
JournalJournal of Pain and Symptom Management
Volume10
Issue number5
DOIs
StatePublished - Jul 1995

Keywords

  • Sympathetically-maintained pain
  • cervicothoracic sympathetic local anesthetic block
  • intrapleural local anesthetic infusion
  • intravenous phentolamine infusion
  • surgical sympathectomy

ASJC Scopus subject areas

  • Nursing(all)
  • Clinical Neurology
  • Anesthesiology and Pain Medicine

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