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Autonomic Nerve Blockade

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Image-Guided Spine Interventions

Abstract

Sensory nerves from deep visceral and somatic organs travel with sympathetic nerves of the autonomic nervous system (also see Chap. 1 for more details about the autonomic nerve anatomy). The ability to block sympathetic nerves at key points can help to reduce pain of deep somatic and visceral origin. In addition, some of these sensory inputs along the sympathetic pathways may establish reflex arcs capable of sending impulses back to deep visceral and somatic organs. These reflex arcs can exacerbate pain on aggravation or activation by pain fiber input. Blocking certain key relay centers along the sympathetic nervous system can break such painful reflex arcs, resulting in relief from deep visceral and somatic pain cycles.

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References

  1. Erickson SJ, Hogan QH. CT guided injection of the stellate ganglion: description of the technique and efficacy of sympathetic blockade. Radiology 1993;188:707-709.

    CAS  PubMed  Google Scholar 

  2. Waldman SD. Atlas of Interventional Pain Management. Philadelphia: WB Saunders, 1996:269-271.

    Google Scholar 

  3. Forouzanfar T, van Kleef M, Weber WE. Radiofrequency lesions of the stellate ganglion in chronic pain syndromes: retrospective analysis of clinical efficacy in 86 patients. Clin J Pain 2000;16(2):164-168.

    Article  CAS  PubMed  Google Scholar 

  4. Massad M, LoCiceo III J, Matano J, Oba J, Greene R, Gilbert J, Hartz R. Endoscopic thoracic sympathectomy: evaluation of pulsatile laser, non-pulsatile laser, and radiofrequency-generated thermocoagulation. Lasers Surg Med 1991;11(1):18-25.

    Article  CAS  PubMed  Google Scholar 

  5. Garcea G, Thomasset S, Berry DP, Tordoff S. Percutaneous splanchnic nerve radiofrequency ablation for chronic abdominal pain. ANZ J Surg 2005;75(8):640-644.

    Article  PubMed  Google Scholar 

  6. Gangi A, Dietemann JL, Schultz A, Mortazavi R, Jeung MY, Roy C. Interventional procedures with CT guidance: cancer pain management. Radiographics 1996;16:1289-1304.

    CAS  PubMed  Google Scholar 

  7. Yarzebski JL, Wilkinson H. T2 and T3 sympathetic ganglia in the adult human: a cadaver and clinical-radiographic study and its clinical application. Neurosurgery 1987;21:339-342.

    Article  CAS  PubMed  Google Scholar 

  8. Gimenez A, Martinez-Noguera A, Donoso L, Catala E, Serra R. Percutaneous neurolysis of the celiac plexus via anterior approach with sonographic guidance. Am J Roentgenol 1993;161:1061-1063.

    CAS  Google Scholar 

  9. Wong W. Management of back pain using image guidance. J Women’s Imaging 2000;2:88-97.

    Google Scholar 

  10. Gangi A, Dietemann JL, Mortazavi R, Pfleger D, Kauff C, Roy C. CT-guided interventional procedures for pain management in the lumbosacral spine. Radiographics 1999;18:621-633.

    Google Scholar 

  11. Racz GB, Stanton-Hicks M. Lumbar and thoracic sympathetic radiofrequency lesioning in complex regional pain syndrome. Pain Pract 2002;2(3):250-256.

    Article  CAS  PubMed  Google Scholar 

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Correspondence to Stanley Golovac MD .

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Golovac, S., Mathis, J.M. (2010). Autonomic Nerve Blockade. In: Mathis, J., Golovac, S. (eds) Image-Guided Spine Interventions. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-0352-5_11

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  • DOI: https://doi.org/10.1007/978-1-4419-0352-5_11

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4419-0351-8

  • Online ISBN: 978-1-4419-0352-5

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