星状神经节阻滞治疗难治性中枢性卒中后疼痛:一个病例系列。

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A&A Practice Pub Date : 2023-03-01 DOI:10.1213/XAA.0000000000001665

Gaurav Purohit, Ajit Kumar, Ravi Shankar Sharma, Baibhav Bhandari, Aditya Mahiswar, Girish Kumar Singh, Shiwam Gupta

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引用次数: 1

摘要

中枢性脑卒中后疼痛是一种继发于脑血管意外的神经性疼痛。其特征是疼痛和其他感觉异常，这些异常与受伤的大脑区域相对应。尽管在治疗选择方面取得了进展，但这种临床实体仍然具有挑战性。我们报告了5例CPSP患者，他们对药物治疗难治性，并成功地用星状神经节阻滞治疗。干预后，所有患者疼痛评分显著降低，功能障碍显著改善。

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Stellate Ganglion Blocks for Refractory Central Poststroke Pain: A Case Series.

Central poststroke pain (CPSP) is a neuropathic pain secondary to cerebrovascular accidents. This is characterized by pain and other sensory abnormalities, which correspond with the area of the injured brain. Despite advancements in therapeutic options, this clinical entity is still challenging to treat. We present 5 patients with CPSP, who were refractory to pharmacotherapy and were successfully managed with stellate ganglion blocks. A significant decrease in pain scores and improvement in functional disabilities were noted in all patients following the intervention.

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来源期刊

A&A Practice ANESTHESIOLOGY-

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期刊介绍： A & A Case Reports, our new online journal publishing Case Reports, related Editorial Commentary, and Correspondence. Anesthesia & Analgesia 1 and Anesthesiology 2 recently announced that they were suspending publication of Case Reports. One reason is that Case Reports typically reduce the Impact Factor of a journal because they are rarely cited. Regardless of the merits of Impact Factor as a metric of journal worth, journals and their editors necessarily consider Impact Factor in strategic planning. At the same time, Case Reports are appreciated by readers for describing “real life” management of difficult or unusual cases not often encountered by practitioners. In a recent issue of Anesthesia & Analgesia, Steven Shafer1 identified many Case Reports whose publication launched productive careers dedicated to solving the puzzle posed by an unusual observation in a single patient.