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KMID : 0363119880010010125
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Korean Journal of Pain
1988 Volume.1 No. 1 p.125 ~ p.128
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Warm Sensation of Left lower Extremity as a Complication of Left Stellate Ganglion Block
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오흥근(吳興根)/Hung Kun Oh
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Abstract
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-Abstract-
A casa of the left stellate ganglion block (SGB) with a warm serration of the left
lower extremity in a 25-year-old male soldier is presented.
During the Korean War, this patient received a penetrating gun shot wound from the
right knee through the left abdominal wall, left upper arm and left thumb. He was
evacuated to the a marine corps surgical hospital where amputation of the left thumb
and an end-to-end anatomosis of the left brachial artery were performed. After surgery,
left ulnar and median nerve paralysis and causalgia developed and about 9 months later
an upper thoracic ganglionectomy was proposed at the Chin-Hae Navel Hospital.
Before the ganglionectomy a stellate ganglion block for diagnostic and prognostic
purposes was requested by the surgeon. This block was performed by the
supraclavicular anterior approach using 10 ㎖ of 2% procaine. The effect of the block
including Horner's syndrome was confirmed 5 minute later in this patient. This patient
returned to the ward by walking unassisted 10 minutes after the block, and complained
of a warm sensation in the left lower extremity 20 minutes later as well as the left
upper arm.
This warm sensation in the lower extremity following ipsilateral stellate ganglion
block indicates that the local anesthetics solution injected tinto the neck spread down to
lumbar sympathetic ganalgion along the fascial membrane of the sympathetic chain as a
consequence of the 10 minutes walk.
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