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

doi:10.1016/0885-3924(95)00015-Q

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

Department of Anesthesiology

Research output: Contribution to journal › Article › peer-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 language	English (US)
Pages (from-to)	396-400
Number of pages	5
Journal	Journal of Pain and Symptom Management
Volume	10
Issue number	5
DOIs	https://doi.org/10.1016/0885-3924(95)00015-Q
State	Published - Jul 1995

Keywords

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

ASJC Scopus subject areas

General Nursing
Clinical Neurology
Anesthesiology and Pain Medicine

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10.1016/0885-3924(95)00015-Q

Cite this

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

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.",

keywords = "Sympathetically-maintained pain, cervicothoracic sympathetic local anesthetic block, intrapleural local anesthetic infusion, intravenous phentolamine infusion, surgical sympathectomy",

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AU - Rogers, James N.

AU - Gale, David W.

PY - 1995/7

Y1 - 1995/7

N2 - 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.

AB - 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.

KW - Sympathetically-maintained pain

KW - cervicothoracic sympathetic local anesthetic block

KW - intrapleural local anesthetic infusion

KW - intravenous phentolamine infusion

KW - surgical sympathectomy

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

Abstract

Keywords

ASJC Scopus subject areas

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