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KMID : 0363119950080020374
Korean Journal of Pain
1995 Volume.8 No. 2 p.374 ~ p.377
The Clinical Experiences and Complications of Percutaneous Neurolysis of Upper Thoracic Sympathetic Ganglion by Using Ethylalcohol
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Abstract
Percutaneous neurolysis of upper thoracic sympathetic ganglion was performed by simultaneously injecting 3 ml of pure alcohol into the T3 and T3 levels after testng with same amount of local anesthetics on the same sites.
We experienced poor sympatholytic effect or intercostal neuritis and Horner's Syndrome as the result of complication of thoracic sympathetic ganglion block. In Case 1, in spite of the good testing result, neurolytic block effect was poor. In Case
2,
intercostal neuritis occurred, but neuralgia subsided within 3 weeks. In Case 3, Horner's Syndrome occurred for 1 day.
To increase the success rate of block and decrease the incidence of complications, good radio-opaque dye appearance and good test block effect should be obtained.
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