successful use of stellate ganglion block and pulsed radiofrequency in the treatment of posttraumatic stress disorder a case report成功使用星状神经节阻断和脉冲射频治疗创伤后应激障碍的病例报告.pdfVIP

Hindawi Publishing Corporation Pain Research and Treatment Volume 2010, Article ID 963948, 5 pages doi:10.1155/2010/963948 Case Report Successful Use of Stellate Ganglion Block and Pulsed Radiofrequency in the Treatment of Posttraumatic Stress Disorder: A Case Report Eugene Lipov Advanced Pain Centers S.C., 2260 West Higgins Road, Suite 101, Hoff man Estates, IL 60169, USA Correspondence should be addressed to Eugene Lipov, elipovmd@ Received 17 September 2009; Accepted 2 February 2010 Academic Editor: Anna Maria Aloisi Copyright © 2010 Eugene Lipov. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Objective. To report our successful treatment of acute symptoms of posttraumatic stress disorder (PTSD). By the use of stellate ganglion block (SGB) and pulsed radiofrequency (PRF) to the stellate ganglion(SG) , sequentially. Background. A 48-year-old male a victim of armed robbery , who presented with extreme symptoms consistent with the diagnosis of PTSD. He was treated with antianxiety medications, as well as psychotherapy, but his symptoms persisted. Methods. Fifty-five days post trauma, we administered a SGB to the patient. One month later, we administered PRF to the right SG . We repeated the pulsed radiofrequency 30 weeks post trauma and performed a second SGB two weeks after that. Results. After the SGB , the patient experienced a major reduction in anxiety. Over the next week his improved allowing a significant reduction of antianxiety medications. One month later the symptoms returned and again subsided substantially following PRF , and that relief lasted four months. The patient than required another foll