STUNNING THE STELLATE GANGLION FOR IMPROVING ACRAL CIRCULATION IN RAYNAUD’S PHENOMENON ASSOCIATED WITH SYSTEMIC SCLEROSIS: A CASE REPORT
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Abstract
Raynaud’s phenomenon is a common and often disabling manifestation of systemic sclerosis, frequently refractory to conventional vasodilator therapy. Stellate ganglion block (SGB) improve regional blood flow by interrupting sympathetic vasoconstrictor tone and can be used as a rescue option in severe upper-limb ischemia. This case report describes a 56‑year‑old woman with systemic sclerosis and secondary Raynaud’s phenomenon, who showed marked improvement in acral circulation and symptoms following SGB after inadequate response to pharmacologic therapy.
References
2. Goel V, Patwardhan AM, Ibrahim M, Howe CL, Schultz DM, Shankar H. Complications associated with stellate ganglion nerve block: a systematic review. Reg Anesth Pain Med. Published online April 16, 2019. doi:10.1136/rapm-2018-100127
3. Zhang L, Li X, Yao J, Wulan N. Ultrasound-guided stellate ganglion block: A visual teaching method. Asian J Surg. 2022;45(8):1596-1597. doi:10.1016/j.asjsur.2022.03.034
4. Omote K, Kawamata M, Namiki A. Adverse effects of stellate ganglion block on Raynaud's phenomenon associated with progressive systemic sclerosis. Anesth Analg. 1993;77(5):1057-1060. doi:10.1213/00000539-199311000-00031
5. Fajardo Pérez M, Yamak-Altinpulluk E, Díez Tafur R, et al. Novel ultrasound-guided supraclavicular stellate ganglion block. Pain Pract. 2024;24(5):808-814. doi:10.1111/papr.13350
6. Leng CB, Lin GJ, Cao H, Liu ZJ. Multidisciplinary Treatment for Severe Secondary Raynaud's Phenomenon: A Case Report. Chin Med Sci J. 2022;37(4):353-358. doi:10.24920/004078
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Dr Ameen Rafeek
Post Graduate student, Kerala University of Health Sciences
Dr Firoz Khan N
Assistant professor, Kerala University of Health Sciences
