Second thoracic sympathetic ganglionectomy in sympathetically maintained pain
Twenty-four individuals with sympathetically maintained pain were treated by posterior paravertebral T 2 sympathectomy following transient response to sympathetic nerve blockade. Eight surgical patients (33.4%) had causalgia, and 16 patients (66.4%) suffered with reflex sympathetic dystrophy. Overal...
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| Veröffentlicht in: | Journal of pain and symptom management 1993-10, Vol.8 (7), p.483-491 |
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| container_end_page | 491 |
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| container_issue | 7 |
| container_start_page | 483 |
| container_title | Journal of pain and symptom management |
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| creator | Herz, David A. Looman, Janice E. Ford, Ronald D. Gostine, Mark L. Davis, Fred N. Vandenberg, W.Christian |
| description | Twenty-four individuals with sympathetically maintained pain were treated by posterior paravertebral T
2 sympathectomy following transient response to sympathetic nerve blockade. Eight surgical patients (33.4%) had causalgia, and 16 patients (66.4%) suffered with reflex sympathetic dystrophy. Overall, physical evidence of improvement was noted in 87% of surgical patients, with subjective improvement in 71%. Reflex sympathetic dystrophy patients fared better than those with causalgia. Complications were minor. The techniques employed appear safe and effective; a multidisciplinary approach with neurosurgery, physiatry, anesthesiology, psychology, and allied health services is recommended. |
| doi_str_mv | 10.1016/0885-3924(93)90191-W |
| format | Article |
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2 sympathectomy following transient response to sympathetic nerve blockade. Eight surgical patients (33.4%) had causalgia, and 16 patients (66.4%) suffered with reflex sympathetic dystrophy. Overall, physical evidence of improvement was noted in 87% of surgical patients, with subjective improvement in 71%. Reflex sympathetic dystrophy patients fared better than those with causalgia. Complications were minor. The techniques employed appear safe and effective; a multidisciplinary approach with neurosurgery, physiatry, anesthesiology, psychology, and allied health services is recommended.</description><identifier>ISSN: 0885-3924</identifier><identifier>EISSN: 1873-6513</identifier><identifier>DOI: 10.1016/0885-3924(93)90191-W</identifier><identifier>PMID: 7525779</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adult ; Biological and medical sciences ; Causalgia ; Causalgia - surgery ; Cranial nerves. Spinal roots. Peripheral nerves. Autonomic nervous system. Gustation. Olfaction ; Female ; Ganglionectomy ; Humans ; Male ; Medical sciences ; Middle Aged ; Nervous system (semeiology, syndromes) ; Neurology ; pain ; Pain - physiopathology ; Pain - surgery ; Palliative Care ; reflex sympathetic dystrophy ; Reflex Sympathetic Dystrophy - surgery ; sympathectomy ; Sympathetic Nervous System - physiopathology ; sympathetically maintained pain ; Thoracic Vertebrae - innervation</subject><ispartof>Journal of pain and symptom management, 1993-10, Vol.8 (7), p.483-491</ispartof><rights>1993</rights><rights>1994 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c432t-acdf826c120ab243ca0fba985fd707345bab09ab195fd34ac132854b7db6f8cf3</citedby><cites>FETCH-LOGICAL-c432t-acdf826c120ab243ca0fba985fd707345bab09ab195fd34ac132854b7db6f8cf3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/0885-3924(93)90191-W$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>315,782,786,3554,27933,27934,46004</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=3762993$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/7525779$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Herz, David A.</creatorcontrib><creatorcontrib>Looman, Janice E.</creatorcontrib><creatorcontrib>Ford, Ronald D.</creatorcontrib><creatorcontrib>Gostine, Mark L.</creatorcontrib><creatorcontrib>Davis, Fred N.</creatorcontrib><creatorcontrib>Vandenberg, W.Christian</creatorcontrib><title>Second thoracic sympathetic ganglionectomy in sympathetically maintained pain</title><title>Journal of pain and symptom management</title><addtitle>J Pain Symptom Manage</addtitle><description>Twenty-four individuals with sympathetically maintained pain were treated by posterior paravertebral T
2 sympathectomy following transient response to sympathetic nerve blockade. Eight surgical patients (33.4%) had causalgia, and 16 patients (66.4%) suffered with reflex sympathetic dystrophy. Overall, physical evidence of improvement was noted in 87% of surgical patients, with subjective improvement in 71%. Reflex sympathetic dystrophy patients fared better than those with causalgia. Complications were minor. The techniques employed appear safe and effective; a multidisciplinary approach with neurosurgery, physiatry, anesthesiology, psychology, and allied health services is recommended.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Causalgia</subject><subject>Causalgia - surgery</subject><subject>Cranial nerves. Spinal roots. Peripheral nerves. Autonomic nervous system. Gustation. Olfaction</subject><subject>Female</subject><subject>Ganglionectomy</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Nervous system (semeiology, syndromes)</subject><subject>Neurology</subject><subject>pain</subject><subject>Pain - physiopathology</subject><subject>Pain - surgery</subject><subject>Palliative Care</subject><subject>reflex sympathetic dystrophy</subject><subject>Reflex Sympathetic Dystrophy - surgery</subject><subject>sympathectomy</subject><subject>Sympathetic Nervous System - physiopathology</subject><subject>sympathetically maintained pain</subject><subject>Thoracic Vertebrae - innervation</subject><issn>0885-3924</issn><issn>1873-6513</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1993</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1LxDAQhoMo67r6DxR6ENFDNR9t01wEWfyCFQ8qewzTNN2NtOmadIX-e7NuWTx5GGbI-8wQHoROCb4mmGQ3OM_TmAmaXAp2JTARJJ7voTHJOYuzlLB9NN4hh-jI-0-MccoyNkIjntKUczFGL29atbaMumXrQBkV-b5ZQbfUXZgXYBe1aa1WXdv0kbF_U6jrPmrA2C6ULqNVaMfooILa65OhT9DHw_379CmevT4-T-9msUoY7WJQZZXTTBGKoaAJU4CrAkSeViXHnCVpAQUWUBARXlgCijCap0nByyKrclWxCbrY3l259mutfScb45Wua7C6XXvJM4YJFySAyRZUrvXe6UqunGnA9ZJgubEoN4rkRpEUTP5alPOwdjbcXxeNLndLg7aQnw85-CCicmCV8TuM8YwKwQJ2u8V0cPFttJNeGW2VLo0LTmXZmv__8QNGW5Am</recordid><startdate>19931001</startdate><enddate>19931001</enddate><creator>Herz, David A.</creator><creator>Looman, Janice E.</creator><creator>Ford, Ronald D.</creator><creator>Gostine, Mark L.</creator><creator>Davis, Fred N.</creator><creator>Vandenberg, W.Christian</creator><general>Elsevier Inc</general><general>Elsevier Science</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19931001</creationdate><title>Second thoracic sympathetic ganglionectomy in sympathetically maintained pain</title><author>Herz, David A. ; Looman, Janice E. ; Ford, Ronald D. ; Gostine, Mark L. ; Davis, Fred N. ; Vandenberg, W.Christian</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c432t-acdf826c120ab243ca0fba985fd707345bab09ab195fd34ac132854b7db6f8cf3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1993</creationdate><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Causalgia</topic><topic>Causalgia - surgery</topic><topic>Cranial nerves. Spinal roots. Peripheral nerves. Autonomic nervous system. Gustation. Olfaction</topic><topic>Female</topic><topic>Ganglionectomy</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Nervous system (semeiology, syndromes)</topic><topic>Neurology</topic><topic>pain</topic><topic>Pain - physiopathology</topic><topic>Pain - surgery</topic><topic>Palliative Care</topic><topic>reflex sympathetic dystrophy</topic><topic>Reflex Sympathetic Dystrophy - surgery</topic><topic>sympathectomy</topic><topic>Sympathetic Nervous System - physiopathology</topic><topic>sympathetically maintained pain</topic><topic>Thoracic Vertebrae - innervation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Herz, David A.</creatorcontrib><creatorcontrib>Looman, Janice E.</creatorcontrib><creatorcontrib>Ford, Ronald D.</creatorcontrib><creatorcontrib>Gostine, Mark L.</creatorcontrib><creatorcontrib>Davis, Fred N.</creatorcontrib><creatorcontrib>Vandenberg, W.Christian</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of pain and symptom management</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Herz, David A.</au><au>Looman, Janice E.</au><au>Ford, Ronald D.</au><au>Gostine, Mark L.</au><au>Davis, Fred N.</au><au>Vandenberg, W.Christian</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Second thoracic sympathetic ganglionectomy in sympathetically maintained pain</atitle><jtitle>Journal of pain and symptom management</jtitle><addtitle>J Pain Symptom Manage</addtitle><date>1993-10-01</date><risdate>1993</risdate><volume>8</volume><issue>7</issue><spage>483</spage><epage>491</epage><pages>483-491</pages><issn>0885-3924</issn><eissn>1873-6513</eissn><abstract>Twenty-four individuals with sympathetically maintained pain were treated by posterior paravertebral T
2 sympathectomy following transient response to sympathetic nerve blockade. Eight surgical patients (33.4%) had causalgia, and 16 patients (66.4%) suffered with reflex sympathetic dystrophy. Overall, physical evidence of improvement was noted in 87% of surgical patients, with subjective improvement in 71%. Reflex sympathetic dystrophy patients fared better than those with causalgia. Complications were minor. The techniques employed appear safe and effective; a multidisciplinary approach with neurosurgery, physiatry, anesthesiology, psychology, and allied health services is recommended.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>7525779</pmid><doi>10.1016/0885-3924(93)90191-W</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Journal of pain and symptom management, 1993-10, Vol.8 (7), p.483-491 |
| issn | 0885-3924 1873-6513 |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Access via ScienceDirect (Elsevier) |
| subjects | Adult Biological and medical sciences Causalgia Causalgia - surgery Cranial nerves. Spinal roots. Peripheral nerves. Autonomic nervous system. Gustation. Olfaction Female Ganglionectomy Humans Male Medical sciences Middle Aged Nervous system (semeiology, syndromes) Neurology pain Pain - physiopathology Pain - surgery Palliative Care reflex sympathetic dystrophy Reflex Sympathetic Dystrophy - surgery sympathectomy Sympathetic Nervous System - physiopathology sympathetically maintained pain Thoracic Vertebrae - innervation |
| title | Second thoracic sympathetic ganglionectomy in sympathetically maintained pain |
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