星状神经节阻滞治疗阵发性交感神经过度兴奋综合征:1例报道并文献复习
Stellate ganglion block for the treatment of paroxysmal sympathetic hyperactivity syndrome:one case report and literature review
杨俊龙 1毛冬梅 1袁亚莉 2卢欢欢 2徐卡娅 3黄媛馨1
作者信息
- 1. 贵州医科大学附属医院疼痛科,贵阳市 550004
- 2. 贵州医科大学临床医学院,贵阳市 550004
- 3. 贵州医科大学附属医院神经外科,贵阳市 550004
- 折叠
摘要
本文报道1例颅脑损伤后继发阵发性交感神经过度兴奋综合征(PSH)患者,经多种药物治疗后,症状控制较差,临床特征量表(CFS)达16分.给予星状神经节阻滞治疗(1％利多卡因注射液10ml),每日1次,左右侧交替进行,8d为1个疗程.PSH症状得到有效控制,CFS评分及血浆细胞因子白细胞介素.5(IL-5)、IL-6、IL-17表达均明显降低;疗程结束后1周,PSH症状完全消失.因此,星状神经节阻滞有助于重新平衡炎症因子和自主神经状态,为PSH的临床治疗提供新思路.
Abstract
One patient,with paroxysmal sympathetic hyperactivity syndrome(PSH)after craniocerebral injury,the clinical feature scale(CFS)16 and the symptoms poorly controlled by multiple medication,received stellate ganglion block(SGB)(1％lidocaine injection 10 ml),once a day for 8 days,and both sides alternately SGB.The symptoms were effectively controlled,the CFS and the expression of plasma cytokines(IL-5,IL-6 and IL-17)were significantly decreased,and the symptoms of PSH disappeared completely 1 week after the treatment.SGB may help to rebalance inflammatory factors and autonomic nerve state,and may be a new idea for the treatment of PSH.
关键词
星状神经节/神经传导阻滞/阵发性交感神经过度兴奋综合征/交感风暴Key words
Stellate ganglion/Nerve block/Paroxysmal sympathetic hyperactivity syndrome/Sympathetic storm引用本文复制引用
出版年
2024
NETL
NSTL
万方数据