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Continuous lumbar sympathetic block.

AbstractA 74-year-old woman with peripheral vascular disease suffered from rest pain in the right big toe and intermittent claudication. Because of concomitant venous congestion, a chemical lumbar sympathectomy was considered to carry an increased risk of leg edema. A continuous lumbar sympathetic block with local anesthetic abolished the pain in the toe without side effects. After this reversible block, a chemical lumbar sympathectomy was performed producing pain relief for 4 weeks when the patient was last seen.
AuthorsP Petriccione di Vadi, W Hamann (Affiliation: Department of Anaesthetics, Guy's Hospital, London, England.)
JournalThe Clinical journal of pain (Clin J Pain) Vol. 7 Issue 3 Pg. 230-1 (Sep 1991) ISSN: 0749-8047 UNITED STATES
PMID1809432 (Publication Type: Case Reports, Journal Article)
Topics
  • Aged
  • Autonomic Nerve Block
  • Humans
  • Intermittent Claudication (complications)
  • Male
  • Pain (etiology, therapy)
  • Peripheral Vascular Diseases (complications)
  • Toes