The Korean Journal of Pain

The Korean Pain Society (대한통증학회)
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Lumbar Sympathetic Ganglion Block with Alcohol for Plantar Hyperhidrosis

발 다한증 환자에서 알코올을 이용한 요부교감신경절 차단술 후의 결과

  • Han, Seung Tak (Department of Anesthesiology and Pain Medicine, School of Medicine, Ajou University) ;
  • Kim, Chan (Department of Anesthesiology and Pain Medicine, School of Medicine, Ajou University) ;
  • Han, Kyung Ream (Department of Anesthesiology and Pain Medicine, School of Medicine, Ajou University) ;
  • Cho, Hae Won (Department of Anesthesiology and Pain Medicine, College of Medicine, Hallym University) ;
  • Noh, Hyun Ju (Department of Anesthesiology and Pain Medicine, School of Medicine, Ajou University)
  • 한승탁 (아주대학교 의과대학 마취통증의학교실) ;
  • 김찬 (아주대학교 의과대학 마취통증의학교실) ;
  • 한경림 (아주대학교 의과대학 마취통증의학교실) ;
  • 조혜원 (한림대학교 의과대학 마취통증의학교실) ;
  • 노현주 (아주대학교 의과대학 마취통증의학교실)
  • Received : 2005.08.19
  • Accepted : 2005.12.07
  • Published : 2005.12.10
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Abstract

Background: Chemical lumbar sympathetic ganglion block could potentially be used to treat plantar hyperhidrosis; therefore, we analyzed the outcome of lumbar sympathetic ganglion block using alcohol for the treatment of plantar hyperhidrosis. Methods: Between March 1992 and June 2003, 356 patients with plantar hyperhidrosis underwent lumbar sympathetic ganglion block using alcohol. All 356 patients were followed up for 2 years and the results evaluated. There were 185 and 171 male and female patients, respectively, with a mean age of 25.1 years, ranging from 15.3 to 56.5 years old. Lumbar sympathetic ganglion block using alcohol was performed with fluoroscopic guidance under local anesthesia. Results: The recurrence rate after 2 years was 34%. Compensatory hyperhidrosis, ejaculation failure, lower back pain and genitofemoral neuritis developed as complications in 132, 4, 12 and 2 patients, respectively. Of the 356 patients, 65% were satisfied. Conclusions: Lumbar sympathetic ganglion block using alcohol is an effective and safe method for the treatment of plantar hyperhidrosis, but more information about the complications and relatively high recurrence rates should be provided to the patient.

Keywords

References

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