흉강경 수술 후 상완신경병증 환자에서 반복된 성상신경절블록 후 발생한 지속적인 안검하수
Prolonged blepharoptosis following repeated stellate ganglion block in a patient with brachial plexopathy after thoracoscopic surgery
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
A 34-year-old female was suffered from pain and numbness of right arm for 2 months after undergoing a thoracoscopic procedure for a posterior mediastinal mass that was diagnosed as neurilemmoma. The patient was diagnosed as a complex regional pain syndrome type 2 with brachial plexopathy developed during thoracoscopic excision of posterior mediastinal mass, and stellate ganglion block (SGB) with 0.2% ropivacaine 10 mL was performed every 3-4 days. The patient revealed slightly prolonged blepharoptosis as Horner syndrome accompanied after every SGB and recovered. However, following the 23rd SGB, the blepharoptosis persisted and patient was recovered spontaneously from blepharoptosis after about 12 months. The possibility that the persistent blepharoptosis might be caused by brachial plexopathy related to patient’s pathology or surgical manipulation and/or repeated SGB. If Horner syndrome occurs, its etiology should be assessed, and it would be necessary to explain and to assure the patient the possibility of recovery spontaneously from the complication within a year, without any sequelae.
Abstract
A 34-year-old female was suffered from pain and numbness of right arm for 2 months after undergoing a thoracoscopic procedure for a posterior mediastinal mass that was diagnosed as neurilemmoma. The patient was diagnosed as a complex regional pain syndrome type 2 with brachial plexopathy developed during thoracoscopic excision of posterior mediastinal mass, and stellate ganglion block (SGB) with 0.2% ropivacaine 10 mL was performed every 3-4 days. The patient revealed slightly prolonged blepharoptosis as Horner syndrome accompanied after every SGB and recovered. However, following the 23rd SGB, the blepharoptosis persisted and patient was recovered spontaneously from blepharoptosis after about 12 months. The possibility that the persistent blepharoptosis might be caused by brachial plexopathy related to patient’s pathology or surgical manipulation and/or repeated SGB. If Horner syndrome occurs, its etiology should be assessed, and it would be necessary to explain and to assure the patient the possibility of recovery spontaneously from the complication within a year, without any sequelae.
참고문헌 (21)
- Leriche R, "L’anesthesie isolee du ganglion etoile:sa technique, ses indications et resultats", Presse Med, 42, pp.849~ (1934)
- Rauck R, "Raj’s practical management of pain", pp.651~682 (2000), Mosby
- Cho YW, "Effect of stellate ganglion block using 0.2% ropivacaine", J Korean Pain Soc, 13, pp.182~186 (2000)
- Elias M, "Cervical sympathetic and stellate ganglion blocks", Pain Physician, 3, pp.294~304 (2000)
- Raj PP, "Interventional pain management", pp.267~274 (1996), Saunders
- Bonica JJ, "Bonica’s management of pain", pp.969~1002 (2001), Lippincott Williams & Wilkins
- Ray BS, "Observations on the distribution of sympathetic nerves to the pupil and upper extremity as determined by stimulation of the anterior roots in man", Ann Surg, 118, pp.647~655 (1943)
- Fleishman JA, "Iatrogenic Horner’s syndrome secondary to chest tube thoracostomy", J Clin Neuroophthalmol, 3, pp.205~210 (1983)
- Taskapan H, "Horner’s syndrome secondary to internal jugular catheterization", Clin Nephrol, 56, pp.78~80 (2001)
- Teich SA, "Horner’s syndrome secondary to Swan-Ganz catheterization", Am J Med, 78, pp.168~170 (1985)
- Ekatodramis G, "Prolonged Horner syndrome due to neck hematoma after continuous interscalene block", Anesthesiology, 95, pp.801~803 (2001)
- Biousse V, "Transient Horner’s syndrome after lumbar epidural anesthesia", Neurology, 51, pp.1473~1475 (1998)
- Shissias CG, "Horner’s syndrome after tonsillectomy", Am J Ophthalmol, 117, pp.812~813 (1994)
- Leuchter I, "Horner’s syndrome and thyroid neoplasms", ORL J Otorhinolaryngol Relat Spec, 64, pp.49~52 (2002)
- Barbut D, "Horner’s syndrome after coronary artery bypass surgery", Neurology, 46, pp.181~184 (1996)
- Cavazza S, "Iatrogenic Horner’s syndrome", Eur J Ophthalmol, 15, pp.504~506 (2005)
- Wax MK, "Cervical sympathetic chain schwannoma", Laryngoscope, 114, pp.2210~2213 (2004)
- 이지연, "성상신경절 차단 후 발생한 지속적 호너 증후군 증례 보고", The Korean Journal of Pain, 18(1), pp.78~81 (2005), 대한통증학회
- Jang BH, "Persistent Horner’s syndrome following stellate ganglion block: two cases report", J Korean Pain Soc, 8, pp.367~370 (1995)
- McLachlan EM, "The formation of synapses in mammalian sympathetic ganglia reinnervated with preganglionic or somatic nerves", J Physiol, 237, pp.217~242 (1974)
- Ganesan S, "Horner’s syndrome: a rare presentation of cervical sympathetic chain schwannoma", J Laryngol Otol, 111, pp.493~495 (1997)